Individual
MARILYN LIKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
340 VETERANS MEMORIAL HWY STE 10, COMMACK, NY 11725-4300
(631) 486-8400
Mailing address
72 SHORE LN, BAY SHORE, NY 11706-8734
(516) 524-1544
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402458
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
402458
LICENSE
NY
Enumeration date
07/12/2018
Last updated
07/12/2018
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