Individual
ARTHUR CALICA LICLICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1556 STRAIGHT PATH, WYANDANCH, NY 11798
(631) 854-1700
(631) 854-1786
Mailing address
1556 STRAIGHT PATH, WYANDANCH, NY 11798
(631) 854-1700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
115231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00211972
—
NY
Enumeration date
09/08/2006
Last updated
10/24/2008
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