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Ms. Debra Ann Hickey, CPNP
Pediatric Nurse Practitioner in Commack, New York
NPI 1407980097

Debra Ann Hickey is a Pediatric Nurse Practitioner based in Stony Brook, NY and is specialized in Pediatrics. Debra Ann Hickey practices in Commack, NY and has the professional credentials of CPNP. The NPI Number for Debra Ann Hickey is 1407980097 and holds a License No. F380777-1 (New York).

The current practice location address for Debra Ann Hickey is 500 Commack Rd, Commack, NY and can be reached out via phone at 631-638-0150 and via fax at 631-638-0157.

Location: 500 Commack Rd, Commack, NY, 11790-0989
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Provider Profile Details
NPI Number
1407980097
Provider Name
Debra Ann Hickey
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
500 Commack Rd, Commack, NY, 11790-0989
Phone Number
631-638-0150
Fax Number
631-638-0157
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112245457 01 NY RBK TAX ID#
00401381 05 NY
institution
Provider Business Practice Location Address Details
Address
500 Commack Rd
City
State
Zip
11725-5020
Phone Number
631-638-0150
Fax Number
631-638-0157
person
Provider Business Mailing Address Details
Address
500 Commack Rd
City
State
Zip
11725-5020
Phone Number
631-638-0150
Fax Number
631-638-0157
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
F380777-1 (New York)
Definition
Definition to come...
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