Individual
FREDERICK LICCIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
159 E 53RD ST FL 3, NEW YORK, NY 10022-4602
(212) 263-7754
(212) 263-8827
Mailing address
700 HICKSVILLE RD STE 205, BETHPAGE, NY 11714-3472
(267) 339-7843
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
182351
NY
Other
Enumeration date
05/27/2006
Last updated
03/25/2025
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