Provider Demographics
NPI:1255377933
Name:HOROHOE, JAMES JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JOSEPH
Last Name:HOROHOE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3875 E HENRIETTA RD
Mailing Address - Street 2:
Mailing Address - City:HENRIETTA
Mailing Address - State:NY
Mailing Address - Zip Code:14467-9147
Mailing Address - Country:US
Mailing Address - Phone:585-334-4200
Mailing Address - Fax:585-334-2515
Practice Address - Street 1:3875 E HENRIETTA RD
Practice Address - Street 2:
Practice Address - City:HENRIETTA
Practice Address - State:NY
Practice Address - Zip Code:14467-9147
Practice Address - Country:US
Practice Address - Phone:585-334-4200
Practice Address - Fax:585-334-2515
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY146533207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY010146533OtherBLUE CHOICE
NY230885OtherWORKER'S COMPENSATION NO
NY00838275Medicaid
NY1093OtherBLUE CROSS BLUE SHIELD
NY146533OtherNEW YORK STATE LICENSE NO
NY192AOtherPREFERRED CARE
NYD01757Medicare UPIN
NY010146533OtherBLUE CHOICE