Provider Demographics
NPI:1043271646
Name:HOCKO, MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:HOCKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2475 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-4551
Mailing Address - Country:US
Mailing Address - Phone:716-893-3835
Mailing Address - Fax:716-893-3857
Practice Address - Street 1:1616 KENSINGTON AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215
Practice Address - Country:US
Practice Address - Phone:716-893-3835
Practice Address - Fax:716-893-3857
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY162862207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3402652OtherINDEPENDENT HEALTH
NY00010077101OtherUNIVERA
NY000505232003OtherBLUE CROSS
110024507OtherRAILROAD MEDICARE
113186BYOtherPREFERRED CARE
000000082604OtherGHI
NY01071136Medicaid
NY040426000197OtherFIDELIS
B35946Medicare UPIN
NY040426000197OtherFIDELIS