Provider Demographics
NPI:1578619870
Name:HOCH, DEBORAH L
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:L
Last Name:HOCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:DITON
Other - Last Name:GEROFSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, CCC-SPEECH
Mailing Address - Street 1:8 KINGSTON PL
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-3807
Mailing Address - Country:US
Mailing Address - Phone:631-385-7147
Mailing Address - Fax:631-470-3469
Practice Address - Street 1:8 KINGSTON PL
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-3807
Practice Address - Country:US
Practice Address - Phone:631-385-7147
Practice Address - Fax:631-470-3469
Is Sole Proprietor?:No
Enumeration Date:2007-01-27
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4495235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5997063OtherAETNA IDENTIFICATION NUMB
NYCS152OtherOXFORD IDENTIFICATION NUM
NY11-3349782OtherEMPLOYMENT IDENTIFICATION