Organization
KENNETH E. HOOGS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH EVERETT HOOGS MD (PRESIDENT)
(315) 492-4064
Entity
Organization
Contact information
Practice address
100 INTREPID LANE, SYRACUSE, NY 13205
(315) 492-4064
(315) 492-4066
Mailing address
100 INTREPID LANE, SYRACUSE, NY 13205
(315) 492-4064
(315) 492-4066
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1080211
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00508865
—
NY
Enumeration date
12/23/2010
Last updated
12/23/2010
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