| Organization Name: | PATRICIA M. HICKS MD PA |
| NPI Number: | 1619272044 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA HICKS HARTMAN (PRESIDENT) |
| Mailing Address: | 119 First St Suite 5 Ho Ho Kus |
| State: | NJ US |
| Postal Code: | 074231575 |
| Phone Number: | 2014445277 |
| Fax Number: | 2014442607 |
| NPI Enumeration Date: | 01/16/2011 |
| NPI Last Update Date: | 01/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM2500X |
| License Number: | MA 38070 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Medical Specialty |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |