MEDICARE: MRS. RENEE M HOFMAN RPH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1200X	Pharmacotherapy Pharmacist	033344	NY

General Provider Information

NPI Number	:	1467450924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RENEE M HOFMAN RPH.

Provider Business Mailing Address
First Line	:	7 WILLIAM PUCKEY DR
Second Line	:
City	:	CORTLANDT MANOR
State	:	NY
Zip	:	10567-6205
Country	:	US
Telephone Number	:	914-737-4164
Fax Number	:	914-736-7121

Provider Business Practice Location Address
First Line	:	100 W KINGSBRIDGE RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10468-3903
Country	:	US
Telephone Number	:	718-410-1289
Fax Number	:	718-410-1580

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	07/08/2007

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