Licausi, Jessica
Licausi, Jessica is an sole proprietor health care provider with primary practice located at 25 Cranberry St Ste A , Riverhead NY 11901-2762. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Licausi, Jessica can be contacted via phone (631) 740-9384.Contact Information
Primary practice address
25 Cranberry St Ste A
Riverhead NY 11901-2762
Phone: (631) 740-9384
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV007703-1 | New York |
Profile Details
| NPI number | 1326326224 |
|---|---|
| LBN Legal business name | Licausi, Jessica |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2011 |
| Last updated | Aug 28th, 2019 - about 6 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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