Provider Demographics
NPI:1720130610
Name:HOFFMAN, LLOYD ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:ALAN
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12A E 68TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5807
Mailing Address - Country:US
Mailing Address - Phone:212-861-6140
Mailing Address - Fax:212-861-1664
Practice Address - Street 1:12A E 68TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5807
Practice Address - Country:US
Practice Address - Phone:212-861-6140
Practice Address - Fax:212-861-1664
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY140957208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery