Healthcare Provider Details

I. General information

NPI: 1144456369
Provider Name (Legal Business Name): ELIZABETH J HOFFMAN MSED, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2009
Last Update Date: 01/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 E 16TH ST SUITE 503
NEW YORK NY
10003-3111
US

IV. Provider business mailing address

18 E 16TH ST SUITE 503
NEW YORK NY
10003-3111
US

V. Phone/Fax

Practice location:
  • Phone: 212-352-8200
  • Fax: 212-352-8700
Mailing address:
  • Phone: 212-352-8200
  • Fax: 212-352-8700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number73076811
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: