Individual
MRS. CHERI LYN HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
513 BOXWOOD DR, SHIRLEY, NY 11967-1119
(631) 924-2915
Mailing address
513 BOXWOOD DR, SHIRLEY, NY 11967-1119
(631) 924-2915
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
694756
NY
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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