Individual
CARLY LICHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 HORIZON DR, HUNTINGTON, NY 11743-4436
(929) 395-6699
Mailing address
55 HORIZON DR, HUNTINGTON, NY 11743-4436
(929) 395-6699
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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