Provider Demographics
NPI:1467450924
Name:HOFMAN, RENEE M (RPH)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:M
Last Name:HOFMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WILLIAM PUCKEY DR
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-6205
Mailing Address - Country:US
Mailing Address - Phone:914-737-4164
Mailing Address - Fax:914-736-7121
Practice Address - Street 1:100 W KINGSBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-3903
Practice Address - Country:US
Practice Address - Phone:718-410-1289
Practice Address - Fax:718-410-1580
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0333441835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy