Individual provider · Type 1 NPI

Elizabeth Breann Deya Hicks, DO

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1457059545 Active

Practice location

4802 10th Ave
Brooklyn, NY 11219-2916

Call (512) 538-8664 Map

Mailing address

237 11th St Apt 8F
Brooklyn, NY 11215-4534

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457059545

Elizabeth Breann Deya Hicks, DO's National Provider Identifier is 1457059545, issued on Feb 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 5, 2026.