National Provider Identifier
Jack Ryan Perez-Perez Hodgkins
Jack Ryan Perez-Perez Hodgkins is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 829-6104.
Profile Overview
- NPI
- 1013658442
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 07, 2022
- Last Updated
- April 07, 2022
Practice Location
- 100 High St
- Buffalo, NY 14203-1126
Phone: (716) 829-6104
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1013658442
- Entity Type
- Individual
- Last Name
- Perez-Perez Hodgkins
- First Name
- Jack
- Middle Name
- Ryan
- Name Prefix
- Mr.
- Provider Other Last Name
- Hodgkins
- Provider Other First Name
- Jack
- Provider Other Middle Name
- Ryan
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 100 High St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1126
- Mailing Country
- US
- Mailing Phone
- (716) 829-6104
- Practice Street Address
- 100 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1126
- Practice Country
- US
- Practice Phone
- (716) 829-6104
- Enumeration Date
- April 07, 2022
- Last Updated
- April 07, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 07, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)