National Provider Identifier
Cody Donald Sponholz
Cody Donald Sponholz is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Geneva, NY and a listed phone number of (315) 789-5061.
Profile Overview
- NPI
- 1134795685
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- June 03, 2021
- Last Updated
- November 22, 2021
Practice Location
- 875 Pre Emption RD
- Geneva, NY 14456-2042
Phone: (315) 789-5061
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1134795685
- Entity Type
- Individual
- Last Name
- Sponholz
- First Name
- Cody
- Middle Name
- Donald
- Name Prefix
- Mr.
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (315) 789-5061
- Practice Street Address
- 875 Pre Emption RD
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-2042
- Practice Country
- US
- Practice Phone
- (315) 789-5061
- Enumeration Date
- June 03, 2021
- Last Updated
- November 22, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 22, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)