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1881899979
STEPHEN LICATA
STATEN ISLAND, NY
NPI
1881899979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 012730)
Enumeration Date
2007-06-19
Last Update Date
2007-07-08
Business Address
Mr. STEPHEN LICATA P.T.
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone number: 718-818-3160
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Mailing Address
Mr. STEPHEN LICATA P.T.
30 ALCOTT ST
STATEN ISLAND, NY 10312-1669
Phone number: 718-948-1930
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