JESSICA LICAUSI

RIVERHEAD, NY
NPI1326326224
Former NameJESSICA FULMER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: NY  TUV007703-1)
Enumeration Date2011-07-26
Last Update Date2019-08-28
Business Address
Dr. JESSICA LICAUSI O.D.
25 CRANBERRY ST STE A
RIVERHEAD, NY 11901-2762
Phone number: 631-740-9384
Mailing Address
Dr. JESSICA LICAUSI O.D.
25 CRANBERRY ST SUITE A
RIVERHEAD, NY 11901-2762
Phone number: 631-740-9384
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