National Provider Identifier
Paul Samuel Hicks, M.D.
Paul Samuel Hicks, M.D. is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in Elmira, NY and a listed phone number of (607) 737-4333.
Profile Overview
- NPI
- 1255366217
- Provider Type
- Individual
- Primary Specialty
- Cardiovascular Disease Physician
- Enumeration Date
- July 11, 2006
- Last Updated
- November 25, 2020
Practice Location
- 600 Ivy St Ste 205
- Elmira, NY 14905-1627
Phone: (607) 737-4333
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Cardiovascular Disease Physician (207RC0000X)
Full Record
- NPI
- 1255366217
- Entity Type
- Individual
- Last Name
- Hicks
- First Name
- Paul
- Middle Name
- Samuel
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 873-1244
- Practice Street Address
- 600 Ivy St Ste 205
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1627
- Practice Country
- US
- Practice Phone
- (607) 737-4333
- Practice Fax
- (607) 737-4271
- Enumeration Date
- July 11, 2006
- Last Updated
- November 25, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 25, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Cardiovascular Disease Physician (207RC0000X)
- Other Identifiers
- 01415750 (NY), 001194150 (PA)