Provider Demographics
NPI:1942620141
Name:HODZIC, EMINA (MD)
Entity Type:Individual
Prefix:
First Name:EMINA
Middle Name:
Last Name:HODZIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 ELMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-1234
Mailing Address - Country:US
Mailing Address - Phone:412-720-2564
Mailing Address - Fax:
Practice Address - Street 1:120 MINEOLA BLVD STE 210
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4077
Practice Address - Country:US
Practice Address - Phone:516-663-4600
Practice Address - Fax:516-663-3008
Is Sole Proprietor?:No
Enumeration Date:2014-04-27
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY2884662080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program