Individual
ILA G HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
6565 FOURTH SECTION RD, SUITE 500, BROCKPORT, NY 14420-2414
(585) 637-2670
(585) 637-3678
Mailing address
6565 FOURTH SECTION RD, SUITE 500, BROCKPORT, NY 14420-2414
(585) 637-2670
(585) 637-3678
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
1369
NY
363AS0400X
Surgical Physician Assistant
Primary
001369
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02108712
—
NY
Enumeration date
06/15/2006
Last updated
07/03/2023
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