Hickey, Lynn L

Hickey, Lynn L is an individual health care provider with primary practice located at 1184 State Rt 50 , Ballston Lake NY 12018. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Hickey, Lynn L can be contacted via phone (518) 384-1281.

Contact Information

Primary practice address
1184 State Rt 50 Ballston Lake NY 12018
Fax: (518) 384-0321
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 229140 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 229140 New York

Profile Details

NPI number 1265579197
LBN Legal business name Hickey, Lynn L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Sep 24th, 2008 - about 18 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 1265579197 NPPES
New York MEDICAID 02644113

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