Individual
EMILY L HICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 734-8900
Mailing address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 734-8900
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307116
NY
Other
Enumeration date
10/18/2014
Last updated
10/14/2015
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