Provider Demographics
NPI:1639493547
Name:HOFFMAN, YAHVEY (MS)
Entity Type:Individual
Prefix:MR
First Name:YAHVEY
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 W END AVE
Mailing Address - Street 2:APARTMENT 4C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5719
Mailing Address - Country:US
Mailing Address - Phone:917-891-1956
Mailing Address - Fax:
Practice Address - Street 1:210 W 70TH ST
Practice Address - Street 2:SUITE 001
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4304
Practice Address - Country:US
Practice Address - Phone:917-891-1956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-22
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006072101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health