Healthcare Provider Details

I. General information

NPI: 1720851595
Provider Name (Legal Business Name): EVA HOFFMAN RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EVA LEWANDOWSKI RDN

II. Dates (important events)

Enumeration Date: 11/03/2023
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 HICKS ST APT B1A
BROOKLYN NY
11201-5985
US

IV. Provider business mailing address

401 HICKS ST APT B1A
BROOKLYN NY
11201-5985
US

V. Phone/Fax

Practice location:
  • Phone: 516-724-5526
  • Fax:
Mailing address:
  • Phone: 516-724-5526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86324955
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: