Livica, Edgardo Mesias

Livica, Edgardo Mesias is an sole proprietor health care provider with primary practice located at 787 Lydig Ave , Bronx NY 10462-2144. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Livica, Edgardo Mesias can be contacted via phone (718) 775-6025.

Contact Information

Primary practice address
787 Lydig Ave Bronx NY 10462-2144
Phone: (718) 775-6025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 015653 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 015653 New York

Profile Details

NPI number 1669468666
LBN Legal business name Livica, Edgardo Mesias
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2005
Last updated May 24th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669468666 NPPES
New York MEDICAID 02716585
New York Other 0129225
New York Other 2558827

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