Mr Nicholas Licciardello, PA-C in Richmond Hill, NY

Mr Nicholas Licciardello, PA-C is a Physician Assistant - Medical based in Richmond Hill, New York. Mr Nicholas Licciardello is licensed to practice in New York (license number 021389) and his current practice location is 8900 Van Wyck Expy, Richmond Hill, New York. He can be reached at his office (for appointments etc.) via phone at (347) 942-4099.

NPI number for Mr Nicholas Licciardello is 1588174122 and his current mailing address is 2326 Fish Ave, Bronx, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588174122.

Contact Information

	Mr Nicholas Licciardello, PA-C
	8900 Van Wyck Expy, Richmond Hill, NY 11418-2832
	(347) 942-4099
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Nicholas Licciardello
Gender	Male
Speciality	Physician Assistant - Medical
Location	8900 Van Wyck Expy, Richmond Hill, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1588174122
Provider Enumeration Date: 10/10/2017
Last Update Date: 10/10/2017

Medical Identifiers

Medical identifiers for Mr Nicholas Licciardello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588174122	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	021389 (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 Nicholas Licciardello 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
Mr Nicholas Licciardello, PA-C 2326 Fish Ave, Bronx, NY 10469-5746 Ph: (347) 942-4099	Mr Nicholas Licciardello, PA-C 8900 Van Wyck Expy, Richmond Hill, NY 11418-2832 Ph: (347) 942-4099

Reviews and Comments

Physician Assistant Nurses in Richmond Hill, NY

Jose Sebastian Peralta, Physician Assistant Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 845-826-3168
Tasnia Aziz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 347-209-2637
Kiran Kazmi, Physician Assistant Medicare: Medicare Enrolled Practice Location: 8628 131st St, Richmond Hill, NY 11418 Phone: 516-939-7260
Ms. Padma Persaud, RPA Physician Assistant Medicare: Medicare Enrolled Practice Location: 113 02 107 Avenue, Richmond Hill, NY 11419 Phone: 718-323-2435
Deandre Eccles, Physician Assistant Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 347-513-7362
Yosif Arabov, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 119 03 101st Avenue, Richmond Hill, NY 11419 Phone: 718-441-0184 Fax: 718-441-8098
Mr. Stephen David Vitale, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11110 Jamaica Ave, Richmond Hill, NY 11418 Phone: 718-847-2688 Fax: 718-847-2627

Mr Nicholas Licciardello, PA-C - Physician Assistant in Richmond Hill, NY