| NPI | 1013511229 |
|---|---|
| Other Name | DR. ZOE HICKSON LLC |
| Entity Type | Organization |
| Authorized Contact | ZOE HICKSON Owner 631-357-9949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-11-28 |
| Last Update Date | 2020-11-28 |