Professional Evaluation Medical Group

Organization Exclusive Provider Organization · NPI 1104960962

Professional Evaluation Medical Group is an Exclusive Provider Organization in Hicksville, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in: NY
In the registry since: 2007

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

380 S Broadway
Hicksville, NY 11801-5033
Phone: (516) 935-4378
Fax: (516) 931-3117

Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Exclusive Provider Organization (primary)	Taxonomy 302F00000X · Licence 147150 (NY)

Record details

NPI number	1104960962
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	James Sheehy — Executive Director · (516) 935-4378
NPI enumerated	February 16, 2007
Last updated in NPPES	November 10, 2011
Mailing address	380 S Broadway, Hicksville, NY 11801-5033