Individual
MR. ROBERT ANDREW LICARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, PT
Contact information
Practice address
6 OVERDALE CT, HUNTINGTON, NY 11743-6811
(631) 423-1231
Mailing address
6 OVERDALE CT, HUNTINGTON, NY 11743-6811
(631) 423-1231
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
022104-1
NY
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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