Liccese, Charles

Liccese, Charles is an sole proprietor health care provider with primary practice located at 1816 Albermarle Ave , East Meadow NY 11554-1617. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Liccese, Charles can be contacted via phone (516) 315-1641.

Contact Information

Primary practice address
1816 Albermarle Ave East Meadow NY 11554-1617
Phone: (516) 315-1641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F405204-01 New York

Profile Details

NPI number 1205546199
LBN Legal business name Liccese, Charles
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2022
Last updated Sep 26th, 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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