Licata, Jessica

Licata, Jessica is an individual health care provider with primary practice located at 1225 Middle Country Rd , Middle Island NY 11953-2515. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Licata, Jessica can be contacted via phone (631) 637-6000.

Contact Information

Primary practice address
1225 Middle Country Rd Middle Island NY 11953-2515
Phone: (631) 637-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 010928 New York

Profile Details

NPI number 1619673787
LBN Legal business name Licata, Jessica
Credentials MASSAGE THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2023
Last updated Feb 1st, 2023 - about 3 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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