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Individual

MICHAEL BRUCE HICKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMH-BC

Contact information

Practice address
88 LEONARD ST APT 907, NEW YORK, NY 10013-3498
(646) 330-9198
Mailing address
46 ALLEN ST APT 3D, NEW YORK, NY 10002-5332
(646) 330-9198

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
680651
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404786
NY

Other

Enumeration date
02/11/2022
Last updated
03/31/2023
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