Mr. Joseph A Licausi II
Technician in West Haven, Connecticut
1871112839- Practice location
- 950 Campbell Ave, West Haven, CT 06516-2770
- Phone
- 203-932-5711
- Fax
- —
- Last updated
- April 10, 2020
Joseph Anthony Licausi is a Technician based in West Haven, CT. Joseph Anthony Licausi practices in West Haven, CT. The NPI Number for Joseph Anthony Licausi is 1871112839 and holds a License No. PTN.0007595 (CT). The current practice location address for Joseph Anthony Licausi is 950 Campbell Ave, West Haven, CT 06516-2770 and can be reached out via phone at 203-932-5711.
Provider Profile Details
- NPI Number
- 1871112839
- Provider Name
- Joseph Anthony Licausi
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 950 Campbell Ave, West Haven, CT 06516-2770
- Phone Number
- 203-932-5711
- Primary Taxonomy
- Technician · 374700000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 10, 2020
- Last Update Date
- April 10, 2020
- Certification Date
- April 10, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 950 Campbell Ave
West Haven, CT 06516-2770 - City
- West Haven
- State
- Connecticut
- Zip
- 06516-2770
- Phone Number
- 203-932-5711
Provider Business Mailing Address Details
- Address
- 17 Nicholas Dr
East Haven, CT 06512-1145 - City
- East Haven
- State
- CT
- Zip
- 06512-1145
- Phone Number
- 203-843-8149
License Information
- License Number
- PTN.0007595
- License State
- CT
- Taxonomy
- Technician · 374700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Joseph A Licausi II?
The NPI number of Mr. Joseph A Licausi II is 1871112839. It was assigned on April 10, 2020 and is currently active in the NPPES registry.
What is the specialty of Mr. Joseph A Licausi II?
Mr. Joseph A Licausi II is registered under the primary taxonomy Technician (code 374700000X), licensed in CT under license number PTN.0007595.
Where does Mr. Joseph A Licausi II practice?
The practice location is 950 Campbell Ave, West Haven, CT 06516-2770. The office can be reached at 203-932-5711 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871112839 directly on the NPPES registry website.