CASEY M GALLAGHER-LICITRA

ITHACA, NY
NPI1215439336
Former NameCASEY GALLAGHER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F405994)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  736778)
Enumeration Date2018-03-05
Last Update Date2025-01-07
Business Address
CASEY M GALLAGHER-LICITRA RN, PMHNP
201 E GREEN ST
ITHACA, NY 14850-5635
Phone number: 607-274-6200
Mailing Address
CASEY M GALLAGHER-LICITRA RN, PMHNP
102 ARMSTRONG RD
LANSING, NY 14882-8904
Phone number: 607-427-9970