Provider Demographics
NPI:1164580981
Name:HOFFMAN, JULIE PAMELA (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:PAMELA
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1400 PELHAM PKWY S
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1138
Mailing Address - Country:US
Mailing Address - Phone:718-918-3660
Mailing Address - Fax:718-918-7686
Practice Address - Street 1:1400 PELHAM PARKWAY SOUTH
Practice Address - Street 2:JACOBI MEDICAL CENTER, BUILDING 5
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-918-3660
Practice Address - Fax:718-918-4365
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2013-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY188629207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01586947Medicaid
NY01586947Medicaid