Provider Demographics
NPI:1568815199
Name:HOFFMANN, MARSHA (RD, CDN)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:MARSHA
Other - Middle Name:
Other - Last Name:SOMMERVIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4500 PARSONS BLVD
Mailing Address - Street 2:DEPT. OF FOOD & NUTRITION
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2205
Mailing Address - Country:US
Mailing Address - Phone:718-670-5000
Mailing Address - Fax:718-670-5614
Practice Address - Street 1:4500 PARSONS BLVD
Practice Address - Street 2:DEPT. OF FOOD & NUTRITION
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2205
Practice Address - Country:US
Practice Address - Phone:718-670-5000
Practice Address - Fax:718-670-5614
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008587133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered