| Hicksville Medical Pc | |
|
400 S Oyster Bay Rd Suite 205 Hicksville NY 11801-3500 | |
| (516) 433-5396 | |
| (516) 433-5386 |
| Full Name | Hicksville Medical Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 400 S Oyster Bay Rd, Hicksville, New York |
| Authorized Official Name and Position | Marwan Hammoud (PRESIDENT) |
| Authorized Official Contact | 5164335396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hicksville Medical Pc 400 S Oyster Bay Rd Suite 205 Hicksville NY 11801-3500 Ph: (516) 433-5396 | Hicksville Medical Pc 400 S Oyster Bay Rd Suite 205 Hicksville NY 11801-3500 Ph: (516) 433-5396 |
| NPI Number | 1851660518 |
|---|---|
| Provider Enumeration Date | 12/23/2011 |
| Last Update Date | 12/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851660518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 233296 (New York) | Primary |
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