person
Mr. Michael Liccese JR., RN
Psychiatric/Mental Health Registered Nurse in Smithtown, New York
NPI 1720332943

Michael Liccese JR. is a Psychiatric/Mental Health Registered Nurse based in Smithtown, NY and is specialized in Psychiatric/Mental Health. Michael Liccese JR. practices in Smithtown, NY and has the professional credentials of RN. The NPI Number for Michael Liccese JR. is 1720332943 and holds a License No. 3806831 (New York).

The current practice location address for Michael Liccese JR. is 5 Weatherstone Way, Smithtown, NY and can be reached out via phone at 631-979-0424.

Location: 5 Weatherstone Way, Smithtown, NY, 11787-2244
person
Provider Profile Details
NPI Number
1720332943
Provider Name
Michael Liccese JR.
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
5 Weatherstone Way, Smithtown, NY, 11787-2244
Phone Number
631-979-0424
Fax Number
Provider Enumeration Date
11/09/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5 Weatherstone Way
City
State
Zip
11787-2244
Phone Number
631-979-0424
Fax Number
person
Provider Business Mailing Address Details
Address
5 Weatherstone Way
City
State
Zip
11787-2244
Phone Number
631-979-0424
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
3806831 (New York)
Definition
Definition to come...
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