Provider Demographics
NPI:1972528685
Name:HOCHMAN, SYDNEY ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:ROBERT
Last Name:HOCHMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 EVERTS AVE
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-2045
Mailing Address - Country:US
Mailing Address - Phone:518-792-6262
Mailing Address - Fax:518-792-9269
Practice Address - Street 1:119 EVERTS AVE
Practice Address - Street 2:
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-2045
Practice Address - Country:US
Practice Address - Phone:518-792-6262
Practice Address - Fax:518-792-9269
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2376-1111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYSH39354BMedicare ID - Type Unspecified
NYT26600Medicare UPIN