Provider Demographics
NPI:1588707368
Name:HOFFMAN, ZANE MICHAEL (DC)
Entity type:Individual
Prefix:MR
First Name:ZANE
Middle Name:MICHAEL
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9314 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1135
Mailing Address - Country:US
Mailing Address - Phone:718-830-2700
Mailing Address - Fax:718-830-3257
Practice Address - Street 1:9314 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1135
Practice Address - Country:US
Practice Address - Phone:718-830-2700
Practice Address - Fax:718-830-3257
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010581111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV00375Medicare UPIN