Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 162862 | NY |
NPI | 1043271646 |
---|---|
Provider Name | Michael Hocko |
First Address | Cheektowaga, NY 14225-4551 |
Second Address | Buffalo, NY 14215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 26/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000082604 | GHI (01) | |
00010077101 | UNIVERA (01) | NY |
000505232003 | BLUE CROSS (01) | NY |
01071136 | (05) | NY |
040426000197 | FIDELIS (01) | NY |
110024507 | RAILROAD MEDICARE (01) | |
113186BY | PREFERRED CARE (01) | |
3402652 | INDEPENDENT HEALTH (01) | NY |
B35946 | (02) |