Hodge, Patricia Marie

Hodge, Patricia Marie is an sole proprietor health care provider with primary practice located at 1841 Brentwood Rd , Brentwood NY 11717-4625. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Registered Nurse is her primary health care specialty. Hodge, Patricia Marie can be contacted via phone (631) 853-7300.

Contact Information

Primary practice address
1841 Brentwood Rd Brentwood NY 11717-4625
Phone: (631) 853-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 339727 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F400360 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X F400360 New York

Profile Details

NPI number 1851309694
LBN Legal business name Hodge, Patricia Marie
Credentials NPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851309694 NPPES
New York MEDICAID 97N0210

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