Kandace R Licciardi, MD - Psychiatry & Neurology in Staten Island, NY

Kandace R Licciardi, MD is a Psychiatry & Neurology - Psychiatry physician based in Staten Island, New York. Kandace R Licciardi is licensed to practice in New York (license number 285000) and her current practice location is 392 Seguine Ave, Staten Island, New York. She can be reached at her office (for appointments etc.) via phone at (718) 226-2275.

NPI number for Kandace R Licciardi is 1538425137 and her current mailing address is 392 Seguine Ave, Staten Island, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538425137.

Contact Information

Kandace R Licciardi, MD
392 Seguine Ave,
Staten Island, NY 10309-3906
(718) 226-2275
Not Available

Map and Direction




Physician's Profile

Full NameKandace R Licciardi
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location392 Seguine Ave, Staten Island, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538425137
  • Provider Enumeration Date: 04/09/2012
  • Last Update Date: 11/14/2019

Medical Identifiers

Medical identifiers for Kandace R Licciardi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538425137NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 285000 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kandace R Licciardi is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kandace R Licciardi, MD
392 Seguine Ave,
Staten Island, NY 10309-3906

Ph: (718) 226-2275
Kandace R Licciardi, MD
392 Seguine Ave,
Staten Island, NY 10309-3906

Ph: (718) 226-2275

Reviews and Comments


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