Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MARIE D ROY LICIN
Active
Individual
MARIE D ROY LICIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
020736
NY
225X00000X
Occupational Therapist
Primary
020736
NY
Other
Enumeration date
07/21/2016
Last updated
09/10/2026
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