Healthcare Provider Details

I. General information

NPI: 1588835870
Provider Name (Legal Business Name): MADELYN KAY HOFFMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2008
Last Update Date: 03/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

#2 WEST 86TH STREET #506 SUITE 5
NEW YORK NY
10024
US

IV. Provider business mailing address

123 WEST 74TH APT 2B
NEW YORK NY
10023-2213
US

V. Phone/Fax

Practice location:
  • Phone: 212-874-4824
  • Fax: 212-579-4436
Mailing address:
  • Phone: 917-660-4966
  • Fax: 212-579-4436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR016680
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: