Individual
MR. JOHN J LICHARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
910 PARK AVE, NEW YORK, NY 10075-0277
(212) 861-9800
(212) 861-5276
Mailing address
910 PARK AVE, NEW YORK, NY 10075-0277
(212) 861-9800
(212) 861-5276
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006255-1
NY
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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