MISS Shanna M Hicks, M.S.

NPI #1053759597 in Nyack, New York

Provider Information

NPI Number: 1053759597
Entity Type: Individual
Name: MISS Shanna M Hicks, M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.S.
Enumeration Date: Jun 6, 2013
Last Updated: Jun 6, 2013

Practice Location

Address: 21 BURD ST
City: Nyack
State: New York
ZIP Code: 10960-3205
Phone: (845) 353-2350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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