Individual
LENWOOD L HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 CLASSON AVENUE, BROOKLYN, NY 11225-1006
(718) 636-4900
(718) 857-3688
Mailing address
901 CLASSON AVE, ROOM 131, BROOKLYN, NY 11225-1006
(718) 636-4900
(718) 857-3688
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
002771-1
NY
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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