Basic Information
Provider Information
NPI: 1821470402
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOKYO
FirstName: KIYOMI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.S.W
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1300 NIAGARA ST
Address2:  
City: BUFFALO
State: NY
PostalCode: 142131503
CountryCode: US
TelephoneNumber: 7168822127
FaxNumber: 7168829277
Practice Location
Address1: 75 E 3RD ST
Address2:  
City: DUNKIRK
State: NY
PostalCode: 140482239
CountryCode: US
TelephoneNumber: 7163636050
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/19/2015
LastUpdateDate: 06/03/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/24/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000X  Y Behavioral Health & Social Service ProvidersCounselor 

No ID Information.


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