William J Hockenberry, PARAMEDIC
Individual provider Active NPI Paramedic · Byron, NY
NPI 1174048730 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1174048730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Paramedic 146L00000X
- License
- 274053 (NY)
- Practice address
- 6149 N Byron Rd
Byron, NY 14422-9516 - Phone
- (716) 471-9553
- NPI assigned
- Aug 4, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274053 | NY | MD | Paramedic |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 274053 | NY | Yes |
Addresses
Primary practice location
6149 N Byron Rd
Byron, NY 14422-9516
Mailing address
6149 N Byron Rd
Byron, NY 14422-9516
Phone (716) 471-9553
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274053 | Other | NY | PARAMEDIC |
Other providers in Byron, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.