Individual
MARTIN HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 BRYANT ST, GENERAL PEDIATRIC DIVISION, BUFFALO, NY 14222-2006
(716) 878-7277
(716) 888-3966
Mailing address
1400 SWEET HOME RD, SUITE 5, AMHERST, NY 14228-2777
(716) 932-6064
(716) 932-6076
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
116567
NY
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
116567
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010077801
UNIVERA
NY
01
—
000507357008
BC/BS
NY
01
—
000507357009
BC/BS
NY
01
—
0018712610001
PA MEDICAID
NY
05
—
00603301
—
NY
01
—
040426001393
FIDELIS
NY
01
—
1208884
IHA
NY
Enumeration date
09/21/2006
Last updated
09/20/2017
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