Healthcare Provider Details

I. General information

NPI: 1265751143
Provider Name (Legal Business Name): TAMAR HOFF-NIR DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2010
Last Update Date: 12/01/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 BROADWAY
HASTINGS ON HUDSON NY
10706-1039
US

IV. Provider business mailing address

1020 WARBURTON AVE APT 11A
YONKERS NY
10701-1258
US

V. Phone/Fax

Practice location:
  • Phone: 914-693-0199
  • Fax:
Mailing address:
  • Phone: 917-523-1035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number043101
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: