Individual
THOMAS HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-3225
(631) 689-8333
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 689-8333
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406018-01
NY
Other
Enumeration date
07/16/2024
Last updated
07/24/2025
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