MEDICARE: LORI R HOCH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	168120	NY

General Provider Information

NPI Number	:	1023187820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI R HOCH MD

Provider Business Mailing Address
First Line	:	1 NORDEN DR
Second Line	:
City	:	GLEN HEAD
State	:	NY
Zip	:	11545-3121
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14149 70TH RD
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-1936
Country	:	US
Telephone Number	:	718-268-5282
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/08/2007

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