Healthcare Provider Details

I. General information

NPI: 1447217179
Provider Name (Legal Business Name): JAMES EDWARD HOHENSEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 09/01/2021
Certification Date: 09/01/2021
Deactivation Date: 03/23/2017
Reactivation Date: 04/11/2017

III. Provider practice location address

2400 PINE AVE
NIAGARA FALLS NY
14301-2402
US

IV. Provider business mailing address

55 DODGE RD
GETZVILLE NY
14068-1205
US

V. Phone/Fax

Practice location:
  • Phone: 716-505-1060
  • Fax:
Mailing address:
  • Phone: 716-831-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number179603-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: