Healthcare Provider Details

I. General information

NPI: 1306990049
Provider Name (Legal Business Name): STANLEY PHILIP HOFFMAN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 01/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

829 E 18TH ST
BROOKLYN NY
11230-1804
US

IV. Provider business mailing address

829 E 18TH ST
BROOKLYN NY
11230-1804
US

V. Phone/Fax

Practice location:
  • Phone: 718-434-5932
  • Fax:
Mailing address:
  • Phone: 718-434-5932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number003543-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: