Healthcare Provider Details

I. General information

NPI: 1649288622
Provider Name (Legal Business Name): CINDY GAIL HOFFMAN LCSW R
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CINDY GAIL POSEROW LCSW R

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 SOUTH LAKE AVE
ALBANY NY
12208
US

IV. Provider business mailing address

105 SOUTH LAKE AVE
ALBANY NY
12208
US

V. Phone/Fax

Practice location:
  • Phone: 518-434-1976
  • Fax: 518-434-1132
Mailing address:
  • Phone: 518-434-1976
  • Fax: 518-434-1132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR0468601
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: