- Practice location
- 21 Burd St, Nyack, NY 10960-3205
- Phone
- 845-353-2350
- Fax
- 845-353-2397
- Last updated
- June 6, 2013
Shanna M Hicks is a Specialist based in Nyack, NY. Shanna M Hicks practices in Nyack, NY and has the professional credentials of MS. The NPI Number for Shanna M Hicks is 1053759597 and holds a License No. 703307131 (NY). The current practice location address for Shanna M Hicks is 21 Burd St, Nyack, NY 10960-3205 and can be reached out via phone at 845-353-2350 and via fax at 845-353-2397.
Provider Profile Details
- NPI Number
- 1053759597
- Provider Name
- Shanna M Hicks
- Credential
- MS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 21 Burd St, Nyack, NY 10960-3205
- Phone Number
- 845-353-2350
- Fax Number
- 845-353-2397
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 6, 2013
- Last Update Date
- June 6, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Burd St
Nyack, NY 10960-3205 - City
- Nyack
- State
- New York
- Zip
- 10960-3205
- Phone Number
- 845-353-2350
- Fax Number
- 845-353-2397
Provider Business Mailing Address Details
- Address
- 21 Burd St
Nyack, NY 10960-3205 - City
- Nyack
- State
- NY
- Zip
- 10960-3205
- Phone Number
- 845-353-2350
- Fax Number
- 845-353-2397
License Information
- License Number
- 703307131
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Nyack, NY
View all Specialists in Nyack →Frequently Asked Questions
What is the NPI number of Miss Shanna M Hicks, MS?
The NPI number of Miss Shanna M Hicks, MS is 1053759597. It was assigned on June 6, 2013 and is currently active in the NPPES registry.
What is the specialty of Miss Shanna M Hicks, MS?
Miss Shanna M Hicks, MS is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 703307131.
Where does Miss Shanna M Hicks, MS practice?
The practice location is 21 Burd St, Nyack, NY 10960-3205. The office can be reached at 845-353-2350 (phone) or 845-353-2397 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053759597 directly on the NPPES registry website.