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Contact Information

MARISSA A LICATA, RD
270-05 76TH AVENUE
SUITE 103
NEW HYDE PARK, NY11040
 Phone: 516-881-7060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MARISSA A LICATA · (Female)

NPI Number 1134180169
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 03/29/2006
Last updated 07/27/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • License # 877337
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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