Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hicksville Primary Medical Oc

Organization Anesthesiology Physician · NPI 1659794204

Hicksville Primary Medical Oc is an Anesthesiology Physician in Hicksville, New York. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2

Practice location Address checks out

92 E Old Country Rd
Hicksville, NY 11801-4217
Phone: (516) 681-2700
Fax: (516) 681-2701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X

Record details

NPI number1659794204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andre Duhamel — Md · (516) 681-2700
NPI enumeratedJanuary 31, 2014
Last updated in NPPESJanuary 31, 2014
Mailing address92 E Old Country Rd, Hicksville, NY 11801-4217

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