Provider Demographics
NPI:1760479562
Name:HOFFMAN, PAMELA S (DPM)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:S
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 KATONAH AVE
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-2175
Mailing Address - Country:US
Mailing Address - Phone:914-232-8880
Mailing Address - Fax:914-232-2245
Practice Address - Street 1:200 KATONAH AVE
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-2175
Practice Address - Country:US
Practice Address - Phone:914-232-8880
Practice Address - Fax:914-232-2245
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN3360-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP35531Medicare PIN
NYT51036Medicare UPIN
NYPH0P355310Medicare PIN