Healthcare Provider Details
I. General information
NPI: 1376702274
Provider Name (Legal Business Name): PAUL HOSKING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/05/2008
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
ELM AND CARLTON ST
BUFFALO NY
14263-0001
US
IV. Provider business mailing address
601 ELMWOOD AVENUE, BOX 626
ROCHESTER NY
14646-0001
US
V. Phone/Fax
- Phone: 716-845-2300
- Fax: 716-845-3549
- Phone: 585-273-4135
- Fax: 585-273-3637
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | 264087 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZC0006X |
| Taxonomy | Clinical Pathology Physician |
| License Number | 61225 |
| License Number State | WI |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | 264087 |
| License Number State | NY |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0105X |
| Taxonomy | Clinical Pathology/Laboratory Medicine Physician |
| License Number | 264087-01 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: