| Ms Debra Ann Hickey, CPNP | |
|
500 Commack Rd, Commack, NY 11725-5020 | |
| (631) 638-0150 | |
| (631) 638-0157 |
| Full Name | Ms Debra Ann Hickey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 500 Commack Rd, Commack, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407980097 | NPI | - | NPPES |
| 112245457 | Other | NY | RBK TAX ID# |
| 00401381 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | F380777-1 (New York) | Primary |
| Entity Name | Stony Brook Children's Service, University Faculty Practice Corporatio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083660575 PECOS PAC ID: 8921993551 Enrollment ID: O20040220000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Debra Ann Hickey, CPNP Po Box 1559, Stony Brook, NY 11790-0989 Ph: (631) 638-0150 | Ms Debra Ann Hickey, CPNP 500 Commack Rd, Commack, NY 11725-5020 Ph: (631) 638-0150 |
Mrs. Jodi Friedberg, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 Cedarwood Ln, Commack, NY 11725 Phone: 631-513-9280 Fax: 613-543-0216 | |
Sandra M Roth, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 52 Radburn Dr, Commack, NY 11725 Phone: 631-864-5175 | |
Cindy Demetriou, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 356 Veterans Memorial Hwy, Suite 5, Commack, NY 11725 Phone: 631-858-0400 | |
Kelly Eileen Mcgowan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2171 Jericho Tpke, Commack, NY 11725 Phone: 631-858-2190 | |
Mrs. Keri Jean Wagner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Commack Rd, Commack, NY 11725 Phone: 631-623-4000 Fax: 631-864-2787 | |
Mrs. Ann Marie Perrino, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 Hauppauge Rd, Commack, NY 11725 Phone: 631-715-2000 | |
Ms. Kathleen Bradley Kupferman, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 Hauppauge Rd, Commack, NY 11725 Phone: 631-715-2503 |