Healthcare Provider Details

I. General information

NPI: 1285543256
Provider Name (Legal Business Name): ALIYAH HODGES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 ROEHRER AVE
BUFFALO NY
14208-1850
US

IV. Provider business mailing address

14 AEGEAN AVE
AMHERST NY
14228-1662
US

V. Phone/Fax

Practice location:
  • Phone: 716-816-3330
  • Fax:
Mailing address:
  • Phone: 716-421-4954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: