Provider Demographics
NPI:1669795746
Name:HOBIKA, MEREDITH J
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:J
Last Name:HOBIKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 KELLOGG RD
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-2850
Mailing Address - Country:US
Mailing Address - Phone:315-735-6424
Mailing Address - Fax:315-735-5005
Practice Address - Street 1:40 KELLOGG RD
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-2850
Practice Address - Country:US
Practice Address - Phone:315-735-6424
Practice Address - Fax:315-735-5005
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0402335183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist