Licata, Marissa A.

Licata, Marissa A. is an individual health care provider with primary practice located at 270-05 76Th Avenue Suite 103, New Hyde Park NY 11040. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Licata, Marissa A. can be contacted via phone (516) 881-7060.

Contact Information

Primary practice address
270-05 76Th Avenue Suite 103 New Hyde Park NY 11040
Phone: (516) 881-7060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 877337

Profile Details

NPI number 1134180169
LBN Legal business name Licata, Marissa A.
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 27th, 2016 - about 8 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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