John J Lichardi PA

NPI 1396999017 - Physician Assistant - 363AS0400X

NPI Details
NPI 1396999017
Gender Male
Enumeration Date 11/07/2008
Last Updated 11/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
910 PARK AVE
NEW YORK NY, 10075-0277, US
Phone (212) 861-9800
Fax (212) 861-5276
Business Location
910 PARK AVE
NEW YORK NY, 10075-0277, US
Phone (212) 861-9800
Fax (212) 861-5276
Toxanomy
Taxonomy Code 363AS0400X
License State New York
License Number 006255-1
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According to our database, Mr. John J Lichardi PA NPI is 1396999017, taxonomy code is 363AS0400X and license number is 006255-1, license state is located at New York. John J Lichardi PA physically located at 910 Park Ave, New York NY, 10075-0277. NPI Number John J Lichardi PA has the Individual type.

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1396999017 NPI number is provided on an as is basis without warranty of any kind. 1396999017 is maintained by the National Plan & Provider Enumeration System. The contents of John J Lichardi PA are for informational purposes only.