Individual
MS. LYNN HICKOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP;CNM
Contact information
Practice address
824 FRANKLIN PK DR, E SYRACUSE, NY 13057
(315) 432-1048
(315) 432-9219
Mailing address
824 FRANKLIN PK DR, E SYRACUSE, NY 13057
(315) 432-1048
(315) 432-9219
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F000673
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013877
BC/BS
NY
01
—
000916155001
HEALTHNOW
NY
05
—
01763193
—
NY
01
—
040426015267
FIDELIS
NY
01
—
161529574
TAX ID
NY
01
—
1899983
GHI
NY
01
—
5626602
AETNA
NY
Enumeration date
06/14/2005
Last updated
12/21/2021
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