Healthcare Provider Details
I. General information
NPI: 1841284528
Provider Name (Legal Business Name): CINDY HOFFMAN DO PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/08/2005
Last Update Date: 10/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 VETERANS RD
YORKTOWN HEIGHTS NY
10598-4130
US
IV. Provider business mailing address
6 AMALFI DR
CORTLANDT MANOR NY
10567-7014
US
V. Phone/Fax
- Phone: 914-245-8308
- Fax: 914-245-8326
- Phone: 914-736-7860
- Fax: 914-736-3499
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207N00000X |
| Taxonomy | Dermatology Physician |
| License Number | 168867 |
| License Number State | NY |
VIII. Authorized Official
Name:
CINDY
HOFFMAN
Title or Position: OWNER
Credential: DO
Phone: 914-245-8308