Individual
DARIAN LICATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
66 MEADOW CT, MANORVILLE, NY 11949-2915
(631) 576-9619
Mailing address
66 MEADOW CT, MANORVILLE, NY 11949-2915
(631) 576-9619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
030387
NY
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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