MICHAEL LICCESE

SMITHTOWN, NY
NPI1720332943
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: NY  3806831)
Enumeration Date2012-11-09
Last Update Date2012-11-09
Business Address
MR. MICHAEL LICCESE R.N.
5 WEATHERSTONE WAY
SMITHTOWN, NY 11787-2244
Phone number: 631-979-0424
Mailing Address
MR. MICHAEL LICCESE R.N.
5 WEATHERSTONE WAY
SMITHTOWN, NY 11787-2244
Phone number: 631-979-0424
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