Hicks, Thomas

Hicks, Thomas is an individual health care provider with primary practice located at 327 Grover Ave E , Massapequa Park NY 11762-3225. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Hicks, Thomas can be contacted via phone (718) 612-6402.

Contact Information

Primary practice address
327 Grover Ave E Massapequa Park NY 11762-3225
Phone: (718) 612-6402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F406018-01 New York

Profile Details

NPI number 1306684261
LBN Legal business name Hicks, Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2024
Last updated Jul 16th, 2024 - about 4 months 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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