Individual provider · Type 1 NPI

Erika Licciardone, PA-C

Medical Physician Assistant · Pittston, PA

NPI number 1013671700 Active

Practice location

1099 S Township Blvd
Pittston, PA 18640-3247

Call (570) 602-2400 Map

Mailing address

438 Milwaukee Ave
Old Forge, PA 18518-1236

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1013671700

Erika Licciardone, PA-C's National Provider Identifier is 1013671700, issued on Oct 28, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pittston, PA. The record was last updated on Oct 28, 2021.