MARYANNA LICATA

VALLEY STREAM, NY
NPI1336515808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F331097-1)
Enumeration Date2015-08-19
Last Update Date2015-08-19
Business Address
Ms. MARYANNA LICATA NP
1605 SOUTHERN DR
VALLEY STREAM, NY 11580-1237
Phone number: 516-526-2623
Mailing Address
Ms. MARYANNA LICATA NP
1605 SOUTHERN DR
VALLEY STREAM, NY 11580-1237
Phone number: 516-526-2623
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