Healthcare Provider Details

I. General information

NPI: 1730886854
Provider Name (Legal Business Name): CHRISTINE HOHM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2023
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 NORTH ST
AUBURN NY
13021-3543
US

IV. Provider business mailing address

8011 PLAINVILLE RD
MEMPHIS NY
13112-9733
US

V. Phone/Fax

Practice location:
  • Phone: 315-253-0341
  • Fax:
Mailing address:
  • Phone: 315-414-8626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number116130-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: