Healthcare Provider Details

I. General information

NPI: 1487024782
Provider Name (Legal Business Name): CHRISTINA HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2015
Last Update Date: 09/09/2021
Certification Date: 09/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 GENESEE ST
UTICA NY
13502-5104
US

IV. Provider business mailing address

210 JOHN ST
BINGHAMTON NY
13905-1300
US

V. Phone/Fax

Practice location:
  • Phone: 315-735-9501
  • Fax: 315-735-9769
Mailing address:
  • Phone: 607-768-6466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: