Licata, Maryanna

Licata, Maryanna is an individual health care provider with primary practice located at 1605 Southern Dr , Valley Stream NY 11580-1237. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Licata, Maryanna can be contacted via phone (516) 526-2623.

Contact Information

Primary practice address
1605 Southern Dr Valley Stream NY 11580-1237
Phone: (516) 526-2623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F331097-1 New York

Profile Details

NPI number 1336515808
LBN Legal business name Licata, Maryanna
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2015
Last updated Aug 19th, 2015 - about 11 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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