MS. Aida Carmen Licata, LPN
NPI #1194962464 in Centereach, New York
Provider Information
- NPI Number
- 1194962464
- Entity Type
- Individual
- Name
- MS. Aida Carmen Licata, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jan 8, 2009
- Last Updated
- Jan 8, 2009
Practice Location
- Address
- 33 N WASHINGTON AVE
- City
- Centereach
- State
- New York
- ZIP Code
- 11720-2132
- Phone
- (631) 880-0416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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