Provider Demographics
NPI:1528379773
Name:HOBART, PAMELA F (NP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:F
Last Name:HOBART
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N MAIN ST STE 203
Mailing Address - Street 2:GENEVA GENERAL SURGICAL ASSOCIATES
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456-2365
Mailing Address - Country:US
Mailing Address - Phone:315-787-5383
Mailing Address - Fax:
Practice Address - Street 1:200 N MAIN ST STE 203
Practice Address - Street 2:GENEVA GENERAL SURGICAL ASSOCIATES
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-2365
Practice Address - Country:US
Practice Address - Phone:315-787-5383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3053991363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health