Individual
DONALD DOUGLAS HICKEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
4476 MAIN STREET, STE 104, AMHERST, NY 14226
(716) 839-5474
(716) 839-4090
Mailing address
POST OFFICE BOX 803, AMHERST, NY 14226-0803
(716) 839-5474
(716) 839-4090
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
138795
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01136685
—
NY
Enumeration date
04/21/2006
Last updated
07/08/2007
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