Healthcare Provider Details

I. General information

NPI: 1669795746
Provider Name (Legal Business Name): MEREDITH J HOBIKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2010
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 GENESEE ST
UTICA NY
13502-5418
US

IV. Provider business mailing address

1750 GENESEE ST
UTICA NY
13502-5418
US

V. Phone/Fax

Practice location:
  • Phone: 315-266-0260
  • Fax:
Mailing address:
  • Phone: 315-266-0260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0402335
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: