Licari, Molly A

Licari, Molly A is an sole proprietor health care provider with primary practice located at 187 Veterans Blvd Unit B , Massapequa NY 11758-4979. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Licari, Molly A can be contacted via phone (516) 826-9825.

Contact Information

Primary practice address
187 Veterans Blvd Unit B Massapequa NY 11758-4979
Phone: (516) 826-9825
Fax: (516) 679-1466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 16565-1 New York

Profile Details

NPI number 1841406345
LBN Legal business name Licari, Molly A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Sep 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841406345 NPPES
New York Other Q182C1 EMPIRE BLUE CROSS BLUE SHIELD

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