Provider Demographics
NPI:1558433540
Name:HOFFMAN, SHEILA JOAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:JOAN
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SHEILA
Other - Middle Name:JOAN
Other - Last Name:FELTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:170 WEST END AVENUE
Mailing Address - Street 2:APT 4E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5401
Mailing Address - Country:US
Mailing Address - Phone:212-362-0277
Mailing Address - Fax:212-769-4608
Practice Address - Street 1:157 E 72 ST
Practice Address - Street 2:PROF J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4331
Practice Address - Country:US
Practice Address - Phone:212-362-0277
Practice Address - Fax:212-769-4608
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0056411103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV51161Medicare ID - Type Unspecified