Basic Information
Provider Information
NPI: 1508202284
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOJNOWSKI
FirstName: ERIC
MiddleName: EDWARD
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4328 COLLIER CIR
Address2:  
City: SYRACUSE
State: NY
PostalCode: 132151351
CountryCode: US
TelephoneNumber: 3154276048
FaxNumber:  
Practice Location
Address1: 17 LANSING ST
Address2:  
City: AUBURN
State: NY
PostalCode: 130211983
CountryCode: US
TelephoneNumber: 3155670437
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/21/2013
LastUpdateDate: 03/04/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207P00000X281299NYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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