Healthcare Provider Details

I. General information

NPI: 1568189280
Provider Name (Legal Business Name): EMILY M HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2022
Last Update Date: 05/01/2023
Certification Date: 05/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 MAIN ST STE 3
BUFFALO NY
14209-1966
US

IV. Provider business mailing address

227 THORN AVE
ORCHARD PARK NY
14127-2600
US

V. Phone/Fax

Practice location:
  • Phone: 716-842-6713
  • Fax: 716-887-8367
Mailing address:
  • Phone: 716-662-2040
  • Fax: 716-662-0019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberP121081
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: