National Provider Identifier

Eileen Teresa Hodges, PA

Eileen Teresa Hodges, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Williamsville, NY and a listed phone number of (716) 568-5600.

NPI 1194019703Williamsville, NYSurgical Physician Assistant

Profile Overview

NPI
1194019703
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
June 01, 2011
Last Updated
July 02, 2015

Practice Location

  • 1540 Maple RD
  • Williamsville, NY 14221-3647

Phone: (716) 568-5600

Mailing Address

  • 5905 Creekview Dr
  • Clarence Center, NY 14032-9735

Specialties

  • Surgical Physician Assistant (363AS0400X)
Full Record
NPI
1194019703
Entity Type
Individual
Last Name
Hodges
First Name
Eileen
Middle Name
Teresa
Name Prefix
Mrs.
Credential
PA
Provider Other Last Name
Stocum
Provider Other First Name
Eileen
Provider Other Middle Name
Teresa
Provider Other Name Prefix Text
MS.
Provider Other Last Name Type Code
1
Mailing Street Address
5905 Creekview Dr
Mailing City
Clarence Center
Mailing State
NY
Mailing ZIP Code
14032-9735
Mailing Country
US
Mailing Phone
(716) 480-1918
Practice Street Address
1540 Maple RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-3647
Practice Country
US
Practice Phone
(716) 568-5600
Enumeration Date
June 01, 2011
Last Updated
July 02, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgical Physician Assistant (363AS0400X)