Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 179603-01 | NY |
NPI | 1447217179 |
---|---|
Provider Name | James Edward Hohensee |
First Address | Getzville, NY 14068-1205 |
Second Address | Niagara Falls, NY 14301-2402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 01/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E89593 | (02) |