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NPI Code Detail

MEDICARE: LATISHA HINCKSON RN

MEDICARE:   LATISHA  HINCKSON  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse912290NY

General Provider Information

NPI Number : 1740112218
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATISHA HINCKSON RN
Provider Business Mailing Address
First Line : 846 MADISON ST APT 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-3512
Country : US
Telephone Number : 646-804-1248
Fax Number :
Provider Business Practice Location Address
First Line : 2811 QUEENS PLZ N FL 5
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-4172
Country : US
Telephone Number : 718-391-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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