Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 80118 | NY |
NPI | 1013002559 |
---|---|
Provider Name | Dr. Ira R Hoffman |
First Address | New York, NY 10065-7215 |
Second Address | New York, NY 10065-7215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 02/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
256911 | MEDICARE ID (01) | NY |
D38030 | (02) | NY |