Individual
MRS. CELESTE MOORE HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
185 CLINTON AVE APT 12D, BROOKLYN, NY 11205-3511
(718) 596-9316
Mailing address
185 CLINTON AVE APT 12D, BROOKLYN, NY 11205-3511
(718) 596-9316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
254474-1
NY
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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