Individual
MRS. EILEEN TERESA HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1540 MAPLE RD, WILLIAMSVILLE, NY 14221-3647
(716) 568-5600
Mailing address
5905 CREEKVIEW DR, CLARENCE CENTER, NY 14032-9735
(716) 480-1918
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
014834
NY
Other
Enumeration date
06/01/2011
Last updated
07/02/2015
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