Basic Information
| Provider Information | |||||||||
| NPI: | 1871676601 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOFFMAN | ||||||||
| FirstName: | MARY | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 FOXCARE DR | ||||||||
| Address2: | SUITE 308 | ||||||||
| City: | ONEONTA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 13820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6074321163 | ||||||||
| FaxNumber: | 6074315367 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 FOXCARE DR | ||||||||
| Address2: | SUITE 308 | ||||||||
| City: | ONEONTA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 138202086 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6074321163 | ||||||||
| FaxNumber: | 6074315367 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/23/2006 | ||||||||
| LastUpdateDate: | 06/21/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 25MA07679900 | NJ | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 230940 | NY | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.