Healthcare Provider Details

I. General information

NPI: 1740836618
Provider Name (Legal Business Name): KYLE WILLIAM HOFFMANN PHARMD, RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2019
Last Update Date: 08/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 S BEDFORD RD
MOUNT KISCO NY
10549-3408
US

IV. Provider business mailing address

1001 COLONY DR
HARTSDALE NY
10530-1719
US

V. Phone/Fax

Practice location:
  • Phone: 914-232-3651
  • Fax:
Mailing address:
  • Phone: 516-830-0883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number063063
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: