Individual
RANDY FICKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 HEMPSTEAD AVE STE H9, ROCKVILLE CENTRE, NY 11570-4034
(516) 764-5522
Mailing address
30 HEMPSTEAD AVE STE H9, ROCKVILLE CENTRE, NY 11570-4034
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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