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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407980097 NPPES
New York Other 112245457 RBK TAX ID#
New York MEDICAID 00401381 RBK TAX ID#

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