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Contact Information

CHANDIA E JACKSON HODGES, RPA-C
410 LAKEVILLE RD
SUITE 206A
NEW HYDE PARK, NY11042-1101
 Phone: 718-470-7644
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHANDIA E JACKSON HODGES · (Female)

NPI Number 1962671446
Status Active
Credentials RPA-C
Entity Individual
Enumeration date 02/28/2008
Last updated 02/28/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 011057
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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