Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 018629 | NY |
NPI | 1649825662 |
---|---|
Provider Name | Dr. Lori Hochman |
First Address | Melville, NY 11747-5345 |
Second Address | Commack, NY 11725-3412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2019 |
Last Update Date | 06/08/2019 |