JUSTINE LICATO

Specialist

Active Individual
NPI: 1407348717

Practice Address

8403 57TH AVE
Elmhurst, NY 11373

Phone: (718) 899-9060

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 2663450 (NY)

Frequently Asked Questions

NPI 1407348717 is the National Provider Identifier for JUSTINE LICATO, a Specialist provider located in Elmhurst, NY. This NPI was enumerated on June 1, 2018.
JUSTINE LICATO practices at 8403 57TH AVE, Elmhurst, NY 11373.

Quick Facts

NPI
1407348717
Type
Individual
Enumerated
Jun 1, 2018
Last Updated
Jun 1, 2018

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