Search › New York › 363LF0000X
Maryanna Licata, NP
NPI 1336515808 · on the registry since 2015
Practice
- Address
- 1605 Southern Dr
Valley Stream, NY 11580 - Phone
- (516) 526-2623
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York