Healthcare Provider Details

I. General information

NPI: 1720130610
Provider Name (Legal Business Name): LLOYD ALAN HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12A E 68TH ST
NEW YORK NY
10021-5807
US

IV. Provider business mailing address

12A E 68TH ST
NEW YORK NY
10021-5807
US

V. Phone/Fax

Practice location:
  • Phone: 212-861-6140
  • Fax: 212-861-1664
Mailing address:
  • Phone: 212-861-6140
  • Fax: 212-861-1664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number140957
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: