Individual provider · Type 1 NPI
Michael Liccese Jr., R.N.
Psychiatric/Mental Health Registered Nurse · Smithtown, NY
NPI number
1720332943
Active
Practice location
5 Weatherstone Way
Smithtown, NY 11787-2244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 3806831 (NY) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
Other psychiatric/mental health registered nurse providers in Smithtown
About NPI 1720332943
Michael Liccese Jr., R.N.'s National Provider Identifier is 1720332943, issued on Nov 9, 2012. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Smithtown, NY. The record was last updated on Nov 9, 2012.