Most Relevant Information
Provider Data
| NPI Number: | 1003568130 |
| Provider Name: | MICHAEL S HICKEY |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 030384 |
Most Important Dates
| Enumeration Date: | 01/20/2022 |
| Last Updated: | 12/20/2023 |
Provider Practice Location
318 TOMPKINS ST
OLEAN
NY
147602734
Practice Location Phone/Fax
| Phone: | 7138168581 |
| Fax: |
Provider Mailing Location
318 TOMPKINS ST
OLEAN
NY
147602734
Provider Mailing Phone/Fax
| Phone: | 7138168581 |
| Fax: |