Provider Demographics
NPI:1699127449
Name:HOFFMAN, LAUREN
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 W 68TH ST
Mailing Address - Street 2:APT 1109
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5808
Mailing Address - Country:US
Mailing Address - Phone:610-574-2455
Mailing Address - Fax:
Practice Address - Street 1:155 W 68TH ST
Practice Address - Street 2:APT 1109
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5808
Practice Address - Country:US
Practice Address - Phone:610-574-2455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist