Individual
CODY HODGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6993 VAN ANTWERP DRIVE, EAST, CICERO, NY 13039
(802) 595-2685
Mailing address
6993 VAN ANTWERP DRIVE, EAST, CICERO, NY 13039
(802) 595-2685
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1164297
NY
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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