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

MR. NICHOLAS LICCIARDELLO, PA-C

Active

MR. NICHOLAS LICCIARDELLO, PA-C is a Medical Physician Assistant healthcare provider located in RICHMOND HILL, New York. NPI 1588174122 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · RICHMOND HILL, NY

Registration Details

NPI Number
1588174122
Provider Type
Individual
Gender
Male
NPI Issued
Oct 10, 2017 (8.8864302124411 yrs)
Last Updated
Oct 10, 2017
License
021389 (NY)

Practice Information

Address
8900 VAN WYCK EXPY
RICHMOND HILL, NY, 114182832
Browse NY providers · Browse ZIP 11418
Phone
3479424099
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in RICHMOND HILL, NY

Name Credential NPI
MR. STEPHEN DAVID VITALE P.A. 1275643470
YOSIF ARABOV PA 1184043705
ADAM ZAFAR KHAN PA 1407251093
GREGORY GOLDVUG 1306533062
MR. ANMOLPREET SINGH 1629766340
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.