Individual provider · Type 1 NPI

Justine Licato

Specialist · Elmhurst, NY

NPI number 1407348717 Active

Practice location

8403 57th Ave
Elmhurst, NY 11373-4833

Call (718) 899-9060 Map

Mailing address

6955 74th St
Middle Village, NY 11379-2516

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2663450 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407348717

Justine Licato's National Provider Identifier is 1407348717, issued on Jun 1, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Elmhurst, NY. The record was last updated on Jun 1, 2018.