Individual provider · Type 1 NPI

Debra Ann Hickey, CPNP

Pediatric Nurse Practitioner · Commack, NY

NPI number 1407980097 Active

Practice location

500 Commack Rd
Commack, NY 11725-5020

Fax (631) 638-0157

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF380777-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1407980097

Debra Ann Hickey, CPNP's National Provider Identifier is 1407980097, issued on Mar 15, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Commack, NY. The record was last updated on May 1, 2017.