Healthcare Provider Details
I. General information
NPI: 1518987429
Provider Name (Legal Business Name): IRA R. HOFFMAN MD AND MURRAY R. ROGERS, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
122 EAST 76TH STREET #1C
NEW YORK NY
10021-2833
US
IV. Provider business mailing address
26 FIREMENS MEMORIAL DR 115
POMONA NY
10970-3553
US
V. Phone/Fax
- Phone: 212-755-7711
- Fax: 212-688-2207
- Phone: 800-750-8616
- Fax: 845-362-8474
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 170100000X |
| Taxonomy | Ph.D. Medical Genetics |
| License Number | |
| License Number State | NY |
VIII. Authorized Official
Name:
MURRAY
R.
ROGERS
Title or Position: PRESIDENT
Credential: MD
Phone: 212-755-7711