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1336515808
MARYANNA LICATA
VALLEY STREAM, NY
NPI
1336515808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F331097-1)
Enumeration Date
2015-08-19
Last Update Date
2015-08-19
Business Address
Ms. MARYANNA LICATA NP
1605 SOUTHERN DR
VALLEY STREAM, NY 11580-1237
Phone number: 516-526-2623
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Mailing Address
Ms. MARYANNA LICATA NP
1605 SOUTHERN DR
VALLEY STREAM, NY 11580-1237
Phone number: 516-526-2623
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