Healthcare Provider Details

I. General information

NPI: 1316031537
Provider Name (Legal Business Name): CRAIG HOHM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 PARRISH ST
CANANDAIGUA NY
14424-1731
US

IV. Provider business mailing address

3005 COATES RD
PENN YAN NY
14527-8800
US

V. Phone/Fax

Practice location:
  • Phone: 585-396-6600
  • Fax:
Mailing address:
  • Phone: 315-536-7372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number155523-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: