Healthcare Provider Details

I. General information

NPI: 1558433540
Provider Name (Legal Business Name): SHEILA JOAN HOFFMAN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHEILA JOAN FELTON PHD

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 E 72 ST PROF J
NEW YORK NY
10021-4331
US

IV. Provider business mailing address

170 WEST END AVENUE APT 4E
NEW YORK NY
10023-5401
US

V. Phone/Fax

Practice location:
  • Phone: 212-362-0277
  • Fax: 212-769-4608
Mailing address:
  • Phone: 212-362-0277
  • Fax: 212-769-4608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0056411
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: