Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES LICCESE
Active Sole ProprietorCHARLES LICCESE is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in EAST MEADOW, New York. NPI 1205546199 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · EAST MEADOW, NY
Registration Details
- NPI Number
- 1205546199
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2022 (3.9105478223048 yrs)
- Last Updated
- Sep 26, 2023
- License
-
F405204-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1816 ALBERMARLE AVEEAST MEADOW, NY, 115541617Browse NY providers · Browse ZIP 11554
- Phone
- 5163151641
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in EAST MEADOW, NY
| Name | Credential | NPI |
|---|---|---|
| MYRDA FLORVIL | FMHNP | 1972929453 |
| ROBERTA GIORGI | — | 1104496801 |
| FAHAD SULTAN | NP | 1821777699 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.