Licata, Alissa A.

Licata, Alissa A. is an individual health care provider with primary practice located at 410 Lakeville Rd , New Hyde Park NY 11042-1101. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Physician Assistants & Advanced Practice Nursing Providers / Family. Other Service Providers / Lactation Consultant, Non-RN is her primary health care specialty. Licata, Alissa A. can be contacted via phone (516) 465-3270.

Contact Information

Primary practice address
410 Lakeville Rd New Hyde Park NY 11042-1101
Phone: (516) 465-3270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 337734 New York
Other Service Providers / Lactation Consultant, Non-RN 174N00000X 162005

Profile Details

NPI number 1922341577
LBN Legal business name Licata, Alissa A.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2013
Last updated Jan 24th, 2020 - about 5 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 1922341577 NPPES
Other 162005 IBCLC

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