Individual
ERIKA LICCIARDONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1099 S TOWNSHIP BLVD, PITTSTON, PA 18640-3247
(570) 602-2400
Mailing address
438 MILWAUKEE AVE, OLD FORGE, PA 18518-1236
(570) 507-4761
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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