Healthcare Provider Details

I. General information

NPI: 1992804884
Provider Name (Legal Business Name): MARTIN HOFFMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 09/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 BRYANT ST GENERAL PEDIATRIC DIVISION
BUFFALO NY
14222-2006
US

IV. Provider business mailing address

1400 SWEET HOME RD SUITE 5
AMHERST NY
14228-2777
US

V. Phone/Fax

Practice location:
  • Phone: 716-878-7277
  • Fax: 716-888-3966
Mailing address:
  • Phone: 716-932-6064
  • Fax: 716-932-6076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number116567
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2081P0010X
TaxonomyPediatric Rehabilitation Medicine Physician
License Number116567
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: