Individual
MR. BERNARD A HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4376 163RD ST APT 1A, FLUSHING, NY 11358-3201
(718) 666-8361
Mailing address
4376 163RD ST APT 1A, FLUSHING, NY 11358-3201
(718) 666-8361
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
1210687499
NY
174H00000X
Health Educator
1210687499
NY
2255A2300X
Athletic Trainer
Primary
1210687499
NY
Other
Enumeration date
07/30/2022
Last updated
08/02/2022
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