Individual provider · Type 1 NPI
Charles Liccese
Psychiatric/Mental Health Nurse Practitioner · East Meadow, NY
NPI number
1205546199
Active
Practice location
1816 Albermarle Ave
East Meadow, NY 11554-1617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F405204-01 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1205546199
Charles Liccese's National Provider Identifier is 1205546199, issued on Dec 1, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in East Meadow, NY. The record was last updated on Sep 26, 2023.