Liccese, Michael

Liccese, Michael is an sole proprietor health care provider with primary practice located at 5 Weatherstone Way , Smithtown NY 11787-2244. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Liccese, Michael can be contacted via phone (631) 979-0424.

Contact Information

Primary practice address
5 Weatherstone Way Smithtown NY 11787-2244
Phone: (631) 979-0424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 3806831 New York

Profile Details

NPI number 1720332943
LBN Legal business name Liccese, Michael
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2012
Last updated Nov 9th, 2012 - about 12 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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