Provider Demographics
NPI:1184043937
Name:NANCY J. HOFFER PH.D, PSYCHOLOGIST, PC
Entity Type:Organization
Organization Name:NANCY J. HOFFER PH.D, PSYCHOLOGIST, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOFFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:917-860-2912
Mailing Address - Street 1:222 BROADWAY FL 19
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-2550
Mailing Address - Country:US
Mailing Address - Phone:917-860-2912
Mailing Address - Fax:877-811-8262
Practice Address - Street 1:222 BROADWAY FL 19
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2550
Practice Address - Country:US
Practice Address - Phone:917-860-2912
Practice Address - Fax:877-811-8262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-09
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013633-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty