IndividualActive
Shanna Hicks, M.S.
NPI 1053759597 · Specialist · Nyack, NY
Shanna Hicks, M.S. is a Specialist provider in Nyack, NY (NPI 1053759597).
Provider details
- NPI number
- 1053759597
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 703307131 (NY)
Practice location
21 Burd St
Nyack, NY 10960-3205
Phone: (845) 353-2350
Fax: (845) 353-2397
Street-level locationGet directions
Mailing address
21 Burd St
Nyack, NY 10960-3205
Registry dates
- Enumerated
- 2013-06-06
- Last updated
- 2013-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.