Individual
DR. KENNETH A. HOGREFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 CENTERWAY, CORNING, NY 14830
(607) 936-9971
(607) 936-2600
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
144719-1
NY
207W00000X
Ophthalmology Physician
MD53407L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011461900003
—
PA
05
—
00779846
—
NY
01
—
180042769
RR MEDICARE PIN
NY
01
—
CC8362
RR MEDICARE GROUP
NY
Enumeration date
03/10/2006
Last updated
03/04/2021
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