Individual
DR. PAUL SAMUEL HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 IVY ST STE 205, ELMIRA, NY 14905-1627
(607) 737-4333
(607) 737-4271
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 873-1244
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
169764
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001194150
—
PA
05
—
01415750
—
NY
Enumeration date
07/11/2006
Last updated
11/25/2020
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