Search › New York › 163W00000X
Jake Licciardi, RN
NPI 1861316309 · on the registry since 2026 · sole proprietor
Practice
- Address
- 18 Sandie Ln
Manorville, NY 11949 - Phone
- (631) 655-9864
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
- 2026-08-06
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