Provider Demographics
NPI:1205033545
Name:HOFER, MYRON ARMS (MD)
Entity type:Individual
Prefix:DR
First Name:MYRON
Middle Name:ARMS
Last Name:HOFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:THEY PAY MYRON
Other - Middle Name:ARMS
Other - Last Name:HOFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:161 E 80TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0438
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:NYSPI
Practice Address - Street 2:1051 RIVERSIDE DRIVE, UNIT 40
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-543-5692
Practice Address - Fax:212-543-5467
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY084592-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AH1815286OtherDEA REG. NO.