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Ron Licas
NPI 1548010945 · on the registry since 2024
Practice
- Address
- 3906 62nd St Apt 2m
Woodside, NY 11377 - Phone
- (848) 468-3402
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-26
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