Mr Michael Liccese Jr, RN - Registered Nurse in Smithtown, NY

Mr Michael Liccese Jr, RN is a Registered Nurse - Psychiatric/mental Health based in Smithtown, New York. Mr Michael Liccese Jr is licensed to practice in New York (license number 3806831) and his current practice location is 5 Weatherstone Way, Smithtown, New York. He can be reached at his office (for appointments etc.) via phone at (631) 979-0424.

NPI number for Mr Michael Liccese Jr is 1720332943 and his current mailing address is 5 Weatherstone Way, Smithtown, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720332943.

Contact Information

Mr Michael Liccese Jr, RN
5 Weatherstone Way,
Smithtown, NY 11787-2244
(631) 979-0424
Not Available

Map and Direction




Provider's Profile

Full NameMr Michael Liccese Jr
GenderMale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location5 Weatherstone Way, Smithtown, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720332943
  • Provider Enumeration Date: 11/09/2012
  • Last Update Date: 11/09/2012

Medical Identifiers

Medical identifiers for Mr Michael Liccese Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720332943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 3806831 (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. Mr Michael Liccese Jr 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
Mr Michael Liccese Jr, RN
5 Weatherstone Way,
Smithtown, NY 11787-2244

Ph: (631) 979-0424
Mr Michael Liccese Jr, RN
5 Weatherstone Way,
Smithtown, NY 11787-2244

Ph: (631) 979-0424

Reviews and Comments


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