Healthcare Provider Details

I. General information

NPI: 1518929900
Provider Name (Legal Business Name): ERIK HOFMANN PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 03/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1385 BOSTON POST RD
LARCHMONT NY
10538-3933
US

IV. Provider business mailing address

1385 BOSTON POST RD
LARCHMONT NY
10538-3933
US

V. Phone/Fax

Practice location:
  • Phone: 914-834-7222
  • Fax: 914-834-7744
Mailing address:
  • Phone: 914-834-7222
  • Fax: 914-834-7744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0185861
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: