Hickey, Debra Ann
Hickey, Debra Ann is an individual health care provider with primary practice located at 500 Commack Rd , Commack NY 11725-5020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hickey, Debra Ann can be contacted via phone (631) 638-0150.Contact Information
Primary practice address
500 Commack Rd
Commack NY 11725-5020
Phone: (631) 638-0150
Fax: (631) 638-0157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F380777-1 | New York |
Profile Details
| NPI number | 1407980097 |
|---|---|
| LBN Legal business name | Hickey, Debra Ann |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | May 1st, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407980097 | NPPES |
| New York | Other | 112245457 | RBK TAX ID# |
| New York | MEDICAID | 00401381 | RBK TAX ID# |
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