Individual
MARY T. HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1571 BROADWAY, HEWLETT, NY 11557-1428
(516) 295-3003
Mailing address
1571 BROADWAY, HEWLETT, NY 11557-1428
(516) 295-3003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F342269
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
F420362-1
NY
Other
Enumeration date
12/02/2013
Last updated
04/14/2022
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