Healthcare Provider Details

I. General information

NPI: 1659709186
Provider Name (Legal Business Name): ANDREW HOFFNER PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2013
Last Update Date: 11/12/2020
Certification Date: 11/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 NEWKIRK AVE
BROOKLYN NY
11226-6521
US

IV. Provider business mailing address

1419 NEWKIRK AVE
BROOKLYN NY
11226-6521
US

V. Phone/Fax

Practice location:
  • Phone: 718-940-1794
  • Fax:
Mailing address:
  • Phone: 718-940-1794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number058672
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: