DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIC COM, LLC

Active Organization

Home Delivered Meals · BRONX, NY

Registration Details

NPI Number
1508724089
Provider Type
Organization
NPI Issued
Jan 13, 2026 (0.27170168428754 yrs)
Last Updated
Jan 22, 2026

Practice Information

Address
509 MANIDA ST
BRONX, NY, 104746821
Browse NY providers · Browse ZIP 10474
Phone
8886762892
Fax
5187976257
Primary Specialty
Home Delivered Meals
332U00000X
Additional Specialty
Medical Foods Supplier
Additional Specialty
Home Delivered Meals
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.