Hicks, Nina Malika
Hicks, Nina Malika is an sole proprietor health care provider with primary practice located at 122 Portion Rd , Lake Ronkonkoma NY 11779-4174. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hicks, Nina Malika can be contacted via phone (631) 588-6665.Contact Information
Primary practice address
122 Portion Rd
Lake Ronkonkoma NY 11779-4174
Phone: (631) 588-6665
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 279813 | New York |
Profile Details
| NPI number | 1841553310 |
|---|---|
| LBN Legal business name | Hicks, Nina Malika |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2012 |
| Last updated | Feb 27th, 2017 - about 7 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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