Licciardello, Nicholas

Licciardello, Nicholas is an individual health care provider with primary practice located at 8900 Van Wyck Expy , Richmond Hill NY 11418-2832. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Licciardello, Nicholas can be contacted via phone (347) 942-4099.

Contact Information

Primary practice address
8900 Van Wyck Expy Richmond Hill NY 11418-2832
Phone: (347) 942-4099
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 021389 New York

Profile Details

NPI number 1588174122
LBN Legal business name Licciardello, Nicholas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2017
Last updated Oct 10th, 2017 - 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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