# LICH FACULTY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437333184
- **Authorized official:** DEBORAH HACKETT (AVP)
- **Authorized official phone:** (212) 256-3424

## Contact information

- **Practice address:** 339 HICKS ST, BROOKLYN, NY 11201-5509
- **Practice address phone:** (718) 780-1000
- **Mailing address:** 160 WATER ST, 20TH FLOOR, NEW YORK, NY 10038-4922
- **Mailing address phone:** (212) 256-3424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |

## Other

- **Enumeration date:** 12/18/2007
- **Last updated:** 04/07/2008