Individual
ALLISON MICHELE LICCARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
227 MADISON ST, NEW YORK, NY 10002-7537
(212) 441-5018
Mailing address
407 1ST ST, APT 4, HOBOKEN, NJ 07030-2460
(201) 316-6650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
039787
NY
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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