| Mrs Michelle G Licciardello, PT, CERT MDT | |
|
90 W Utica St, Oswego, NY 13126-3048 | |
| (315) 342-2738 | |
| (315) 342-2815 |
| Full Name | Mrs Michelle G Licciardello |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 90 W Utica St, Oswego, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730238585 | NPI | - | NPPES |
| 4130726 | Other | NY | MVP SELECT CARE |
| 11353159 | Other | NY | CAQH NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0134981 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Michelle G Licciardello, PT, CERT MDT 90 W Utica St, Oswego, NY 13126-3048 Ph: (315) 342-2738 | Mrs Michelle G Licciardello, PT, CERT MDT 90 W Utica St, Oswego, NY 13126-3048 Ph: (315) 342-2738 |
Katherine Price, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Marie Reyes-julian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 W 6th St, 140, Oswego, NY 13126 Phone: 315-349-5558 Fax: 315-349-5652 | |
Mr. Wai-cheuk Richard Kung, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5558 | |
Mrs. Abbey Gale Dela Cruz Bautista, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Mr. Rex Fujiwara, MPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Mrs. Sandra J Guenter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 West Sixth Street, Suite 140, Oswego, NY 13126 Phone: 315-594-2450 | |
Dr. Sarka Prada Coomber, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 364 East Ave, Oswego, NY 13126 Phone: 315-326-0056 Fax: 315-326-0102 |