Provider Demographics
NPI:1174048730
Name:HOCKENBERRY, WILLIAM J (PARAMEDIC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:HOCKENBERRY
Suffix:
Gender:M
Credentials:PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6149 N BYRON RD
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:NY
Mailing Address - Zip Code:14422-9516
Mailing Address - Country:US
Mailing Address - Phone:716-471-9553
Mailing Address - Fax:
Practice Address - Street 1:6149 N BYRON RD
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:NY
Practice Address - Zip Code:14422-9516
Practice Address - Country:US
Practice Address - Phone:716-471-9553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274053146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY274053OtherPARAMEDIC