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Individual

DR. JOHN JAMES HICKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2870 HEMPSTEAD TPKE STE 103, LEVITTOWN, NY 11756-1341
(516) 735-4545
(516) 735-2652
Mailing address
2870 HEMPSTEAD TPKE STE 103, LEVITTOWN, NY 11756-1341
(516) 735-4545
(516) 735-2652

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N3381
NY
213ES0131X
Foot Surgery Podiatrist
Primary
N3381
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00737839
NY
Enumeration date
12/30/2006
Last updated
05/29/2008
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