1841284528 NPI number — CINDY HOFFMAN DO PC

Table of content: CARRIE BETH LAMBERT LGPC (NPI 1457186090)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841284528 NPI number — CINDY HOFFMAN DO PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CINDY HOFFMAN DO PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841284528
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/15/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6 AMALFI DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORTLANDT MANOR
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10567-7014
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-736-7860
Provider Business Mailing Address Fax Number:
914-736-3499

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 VETERANS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORKTOWN HEIGHTS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10598-4130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-245-8308
Provider Business Practice Location Address Fax Number:
914-245-8326
Provider Enumeration Date:
09/08/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HOFFMAN
Authorized Official First Name:
CINDY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
914-245-8308

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X , with the licence number:  168867 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01038595 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".