Healthcare Provider Details

I. General information

NPI: 1942322706
Provider Name (Legal Business Name): SHARON KOFMAN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 WEST 72ND STREET SUITE 1L
NEW YORK CITY NY
10023
US

IV. Provider business mailing address

15 WEST 72ND STREET SUITE 1L
NEW YORK CITY NY
10023
US

V. Phone/Fax

Practice location:
  • Phone: 917-371-5418
  • Fax:
Mailing address:
  • Phone: 917-371-5418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0053701
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: