Doctor Name: | MRS. SHANA HOFFMAN |
NPI Number: | 1053745588 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHC |
License Number: | P90493 |
Business Practice Address: | 156 Beach 9th St Far Rockaway, NY - 116915636 |
Business Phone Number: | 7186863149 |
Business Fax Number: | 3476959701 |
Mailing Address: | 156 Beach 9th St, FAR ROCKAWAY |
State: | NY |
Postal Code: | 116915636 |
Phone Number: | 7186863149 |
Fax Number: | 3476959701 |
NPI Enumeration Date: | 09/03/2013 |
NPI Last Update Date: | 09/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | P90493 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |