Provider Demographics
NPI:1629471503
Name:HIRMES, RIKI (NP)
Entity Type:Individual
Prefix:
First Name:RIKI
Middle Name:
Last Name:HIRMES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 PENINSULA BLVD
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1200
Mailing Address - Country:US
Mailing Address - Phone:516-487-4368
Mailing Address - Fax:
Practice Address - Street 1:1220 PENINSULA BLVD
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1200
Practice Address - Country:US
Practice Address - Phone:516-487-4368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-06
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338711363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily