Healthcare Provider Details
I. General information
NPI: 1982871711
Provider Name (Legal Business Name): BARBARA HOFFMAN PHD CASAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/12/2008
Last Update Date: 09/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
116 JOHN ST 27 FLOOR
NEW YORK NY
10038-3300
US
IV. Provider business mailing address
116 JOHN ST 27 FLOOR
NEW YORK NY
10038-3300
US
V. Phone/Fax
- Phone: 212-385-0086
- Fax: 212-732-0757
- Phone: 212-385-0086
- Fax: 212-732-0757
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: