Healthcare Provider Details

I. General information

NPI: 1568886414
Provider Name (Legal Business Name): SYNTHIA HOQUE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2014
Last Update Date: 03/10/2021
Certification Date: 03/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE GUSTAVE L. LEVY PLACE
NEW YORK NY
10029-6574
US

IV. Provider business mailing address

ONE GUSTAVE L. LEVY PLACE
NEW YORK NY
10029-6574
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-6500
  • Fax:
Mailing address:
  • Phone: 212-241-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number017281
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: