Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 288573 | NY |
NPI | 1023534625 |
---|---|
Provider Name | Aaron Hockley |
First Address | New York, NY 10003-4029 |
Second Address | New York, NY 10003-4029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2017 |
Last Update Date | 16/08/2017 |