Organization
HICKSVILLE PRIMARY MEDICAL OC
Active
Organization
HICKSVILLE PRIMARY MEDICAL OC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE DUHAMEL MD (MD)
(516) 681-2700
Entity
Organization
Contact information
Practice address
92 E OLD COUNTRY RD, HICKSVILLE, NY 11801-4217
(516) 681-2700
(516) 681-2701
Mailing address
92 E OLD COUNTRY RD, HICKSVILLE, NY 11801-4217
(516) 681-2700
(516) 681-2701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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