Healthcare Provider Details

I. General information

NPI: 1437287430
Provider Name (Legal Business Name): PAUL J HOFFMAN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 E 62ND ST
NEW YORK NY
10021-7685
US

IV. Provider business mailing address

203 E 62ND ST
NEW YORK NY
10021-7685
US

V. Phone/Fax

Practice location:
  • Phone: 212-355-4300
  • Fax: 212-752-6852
Mailing address:
  • Phone: 212-355-4300
  • Fax: 212-752-6852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number24020
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: