Provider Demographics
NPI:1215049325
Name:HOCH, BRIAN S (MD, FACP)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:S
Last Name:HOCH
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 E 31ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4741
Mailing Address - Country:US
Mailing Address - Phone:212-593-9800
Mailing Address - Fax:212-593-5757
Practice Address - Street 1:211 W 61ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7832
Practice Address - Country:US
Practice Address - Phone:212-593-9800
Practice Address - Fax:212-593-5757
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY150446207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A63548Medicare UPIN
NYA63548Medicare UPIN
63D69CW431Medicare ID - Type Unspecified