Active NPIIndividual providerSole proprietor

Miss Shanna M Hicks, MS

Specialist in Nyack, New York

NPI Number1053759597
Practice location
21 Burd St, Nyack, NY 10960-3205
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
Zip
10960-3205
Phone Number
845-353-2350
Fax Number
845-353-2397
Nyack, NY 10960Get directions →

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

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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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.

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