Provider Demographics
NPI:1427725290
Name:HOCKADAY, SIERRA NICOLE (PA-C)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:NICOLE
Last Name:HOCKADAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 SENECA ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-1335
Mailing Address - Country:US
Mailing Address - Phone:607-324-0660
Mailing Address - Fax:
Practice Address - Street 1:181 SENECA ST STE 2
Practice Address - Street 2:
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-1335
Practice Address - Country:US
Practice Address - Phone:607-324-0660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-27
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027115207Q00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine