Search › New York › 363LF0000X
Autumn Hicks
NPI 1316797749 · on the registry since 2024 · sole proprietor
Practice
- Address
- 274 Willow Rd W
Staten Island, NY 10314 - Phone
- (347) 466-2567
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York