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Individual

DONNA LEE HICKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
901 STEWART AVE, GARDEN CITY, NY 11530-4893
(516) 747-2400
Mailing address
110 BROADWAY, BETHPAGE, NY 11714-4904
(516) 931-1747

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
019414-1
NY

Other

Enumeration date
11/01/2016
Last updated
11/01/2016
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