Healthcare Provider Details

I. General information

NPI: 1043658313
Provider Name (Legal Business Name): KRISTI B HOFFMANN PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2013
Last Update Date: 11/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MAMARONECK AVE. SUITE 400
HARRISON NY
10528
US

IV. Provider business mailing address

1 CHATSWORTH AVE. UNIT 77
LARCHMONT NY
10538
US

V. Phone/Fax

Practice location:
  • Phone: 914-575-2760
  • Fax:
Mailing address:
  • Phone: 914-575-2760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number019967-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number019967-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: