| Doctor Name: | MR. GARY MICHAEL HOOVER |
| NPI Number: | 1154631935 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 500173-1 |
| Business Practice Address: | 6176 Blossom Ct. East Amherst, NY - 14051 |
| Business Phone Number: | 7167418516 |
| Business Fax Number: | |
| Mailing Address: | 6176 Blossom Ct., EAST AMHERST |
| State: | NY |
| Postal Code: | 14051 |
| Phone Number: | 7168184623 |
| Fax Number: | 7168567502 |
| NPI Enumeration Date: | 10/14/2010 |
| NPI Last Update Date: | 10/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 500173-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |