Provider Demographics
NPI:1154373298
Name:HOEFFS, MELANIE (CRNA)
Entity type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:
Last Name:HOEFFS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WESTCHESTER AVE
Mailing Address - Street 2:SUITE N511
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1354
Mailing Address - Country:US
Mailing Address - Phone:914-428-5454
Mailing Address - Fax:914-253-6900
Practice Address - Street 1:800 WESTCHESTER AVE
Practice Address - Street 2:SUITE N511
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-1354
Practice Address - Country:US
Practice Address - Phone:914-428-5454
Practice Address - Fax:914-253-6900
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY565810367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR5C791Medicare ID - Type Unspecified