Dr Salvatore Licciardi, is a
Family Medicine physician based in Coxsackie, New York. Dr Salvatore Licciardi is licensed to practice in New York (license number 196373) and his current practice location is 24 Lafayette Ave, Coxsackie, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 731-7777.
NPI number for Dr Salvatore Licciardi is 1386608248 and his current mailing address is 24 Lafayette Ave, Coxsackie, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386608248.
Physician's Profile
| Full Name | Dr Salvatore Licciardi |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 24 Lafayette Ave, Coxsackie, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386608248
- Provider Enumeration Date: 04/17/2006
- Last Update Date: 12/01/2007
Medical Identifiers
Medical identifiers for Dr Salvatore Licciardi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386608248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 196373 (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. Dr Salvatore 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 Address | Practice Location Address |
|---|
Dr Salvatore Licciardi,
24 Lafayette Ave,
Coxsackie, NY 12051-1305
Ph: (518) 731-7777 | Dr Salvatore Licciardi,
24 Lafayette Ave,
Coxsackie, NY 12051-1305
Ph: (518) 731-7777 |
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