Nina Malika Hicks, MD | |
122 Portion Rd, Lake Ronkonkoma, NY 11779-4174 | |
(631) 588-6665 | |
Not Available |
Full Name | Nina Malika Hicks |
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Gender | Female |
Speciality | Family Practice |
Experience | 18 Years |
Location | 122 Portion Rd, Lake Ronkonkoma, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841553310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 279813 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jacqueline Delmont Md Pc | 6507762473 | 8 |
Entity Name | Montefiore Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
Entity Name | Jacqueline Delmont Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922050749 PECOS PAC ID: 6507762473 Enrollment ID: O20031211000846 |
Mailing Address | Practice Location Address |
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Nina Malika Hicks, MD 122 Portion Rd, Lake Ronkonkoma, NY 11779-4174 Ph: () - | Nina Malika Hicks, MD 122 Portion Rd, Lake Ronkonkoma, NY 11779-4174 Ph: (631) 588-6665 |
Robert Frederick Mazzeo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-737-0100 | |
Khadiga Ahmed, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-471-0100 Fax: 631-471-1000 | |
Jack Z Nussbaum, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 388 Hawkins Ave, Ste 1, Lake Ronkonkoma, NY 11779 Phone: 631-588-8460 Fax: 631-588-8480 | |
Manuel R Rosales, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 388 Hawkins Ave, Ste 1, Lake Ronkonkoma, NY 11779 Phone: 631-588-8460 Fax: 631-588-8480 | |
Dr. David I Hauer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 388 Hawkins Ave, Ste 1, Lake Ronkonkoma, NY 11779 Phone: 631-588-8460 Fax: 631-588-8480 | |
Dr. Bhanumathy Vinayagasundaram, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Hawkins Avenue, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-471-1117 |