MEDICARE: MICHAEL HOCKO M.D.

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	207RI0200X	Infectious Disease Physician	162862	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	110024507	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3402652	OTHER	NY	INDEPENDENT HEALTH
2	00010077101	OTHER	NY	UNIVERA
3	000505232003	OTHER	NY	BLUE CROSS
5	113186BY	OTHER		PREFERRED CARE
6	000000082604	OTHER		GHI
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	040426000197	OTHER	NY	FIDELIS

General Provider Information

NPI Number	:	1043271646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL HOCKO M.D.

Provider Business Mailing Address
First Line	:	2475 HARLEM RD
Second Line	:
City	:	CHEEKTOWAGA
State	:	NY
Zip	:	14225-4551
Country	:	US
Telephone Number	:	716-893-3835
Fax Number	:	716-893-3857

Provider Business Practice Location Address
First Line	:	1616 KENSINGTON AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14215
Country	:	US
Telephone Number	:	716-893-3835
Fax Number	:	716-893-3857

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

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	03/26/2020

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