Dr. Thomas Ryan Hickernell
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
622 W 168th St Ph11-1130
New York
, New York 10032-3720
Dr. Thomas Ryan Hickernell
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
622 W 168th St Ph11-1130
New York
, New York 10032-3720
(212) 305-5974
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Thomas Ryan Hickernell
- 622 W 168th St Ph11-1130
- New York, NY
- Zip : 10032-3720
- Phone : (212) 305-5974
Second Address
- Dr. Thomas Ryan Hickernell
- 622 W 168th St Ph11-1130
- New York, NY
- Zip : 10032-3720
- Phone : (212) 305-5974
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 291447 | NY |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 291447 | NY |
National Provider Identifier
| NPI | 1003259706 |
|---|---|
| Provider Name | Dr. Thomas Ryan Hickernell |
| First Address | New York, NY 10032-3720 |
| Second Address | New York, NY 10032-3720 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2013 |
| Last Update Date | 03/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.