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Charles Liccese
Psychiatric/Mental Health Nurse Practitioner in East Meadow, New York
NPI 1205546199

Charles Liccese is a Psychiatric/Mental Health Nurse Practitioner based in East Meadow, NY and is specialized in Psychiatric/Mental Health. Charles Liccese practices in East Meadow, NY. The NPI Number for Charles Liccese is 1205546199 and holds a License No. (New York).

The current practice location address for Charles Liccese is 1816 Albermarle Ave, East Meadow, NY and can be reached out via phone at 516-315-1641.

Location: 1816 Albermarle Ave, East Meadow, NY, 11554-1617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205546199
Provider Name
Charles Liccese
Credential
Provider Entity Type
Individual
Gender
Male
Address
1816 Albermarle Ave, East Meadow, NY, 11554-1617
Phone Number
516-315-1641
Fax Number
Provider Enumeration Date
12/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1816 Albermarle Ave
City
East Meadow
State
New York
Zip
11554-1617
Phone Number
516-315-1641
Fax Number
person
Provider Business Mailing Address Details
Address
1816 Albermarle Ave
City
East Meadow
State
New York
Zip
11554-1617
Phone Number
516-315-1641
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
F405204-01 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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