Healthcare Provider Details

I. General information

NPI: 1639493547
Provider Name (Legal Business Name): YAHVEY HOFFMAN M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2010
Last Update Date: 07/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W 70TH ST SUITE 001
NEW YORK NY
10023-4304
US

IV. Provider business mailing address

411 W END AVE APARTMENT 4C
NEW YORK NY
10024-5719
US

V. Phone/Fax

Practice location:
  • Phone: 917-891-1956
  • Fax:
Mailing address:
  • Phone: 917-891-1956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number006072
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: