Healthcare Provider Details

I. General information

NPI: 1437128378
Provider Name (Legal Business Name): JOANNE HOJSAK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOANNE MAROLDA HOJSAK M.D.

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 03/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GUSTAVE L LEVY PL BOX 1202B
NEW YORK NY
10029-6500
US

IV. Provider business mailing address

1 GUSTAVE L LEVY PL BOX 1202B
NEW YORK NY
10029-6500
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-6529
  • Fax:
Mailing address:
  • Phone: 212-241-6529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number168437
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number168437
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: