Provider Demographics
NPI:1699845362
Name:HODAS-GATES, SYLBIE (DPT)
Entity Type:Individual
Prefix:
First Name:SYLBIE
Middle Name:
Last Name:HODAS-GATES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SYLBIE
Other - Middle Name:
Other - Last Name:HODAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2438 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217
Mailing Address - Country:US
Mailing Address - Phone:716-873-9154
Mailing Address - Fax:716-875-3796
Practice Address - Street 1:2438 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217
Practice Address - Country:US
Practice Address - Phone:716-873-9154
Practice Address - Fax:716-875-3796
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0216291225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
000626213002OtherBLUE CROSS
8990519OtherINDEPENDENT HEALTH
827945OtherEMPIRE
827945OtherEMPIRE
8990519OtherINDEPENDENT HEALTH