Individual
EMILY HODACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 CALVARY DR, NORWICH, NY 13815-1032
(607) 336-6362
Mailing address
55 CALVARY DR, NORWICH, NY 13815-1032
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
706631
NY
363LF0000X
Family Nurse Practitioner
Primary
344955
NY
Other
Enumeration date
08/15/2019
Last updated
08/21/2019
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