Basic Information
| Provider Information | |||||||||
| NPI: | 1891226668 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOCKENSMITH | ||||||||
| FirstName: | ADAM | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 ATWELL RD | ||||||||
| Address2: | |||||||||
| City: | COOPERSTOWN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 133261301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6075473480 | ||||||||
| FaxNumber: | 6075475034 | ||||||||
| Practice Location | |||||||||
| Address1: | 39 PEARL ST W | ||||||||
| Address2: | |||||||||
| City: | SIDNEY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 138381330 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6075637080 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2017 | ||||||||
| LastUpdateDate: | 02/15/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 307147 | NY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.