Healthcare Provider Details

I. General information

NPI: 1235620238
Provider Name (Legal Business Name): NAAMA HOFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2018
Last Update Date: 05/05/2023
Certification Date: 05/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 E 39TH ST STE 1100
NEW YORK NY
10016-0112
US

IV. Provider business mailing address

6 E 39TH ST STE 1100
NEW YORK NY
10016-0112
US

V. Phone/Fax

Practice location:
  • Phone: 475-655-4167
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number024295
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: