Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
3333 HYLAN BLVD
STATEN ISLAND, NY 10306-3608 US
PECOS Enrolled

Jeffrey Paul Licata

Physician Assistant (Medical)


Jeffrey Paul Licata

Overview

Jeffrey Paul Licata is a Physician Assistant (Medical) in the STATEN ISLAND area. Jeffrey Paul Licata primary office location is at 3333 HYLAN BLVD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1104385947 and the information was updated approximately 2 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
3333 HYLAN BLVD
STATEN ISLAND, NY 10306-3608 US
Phone: (718)-667-7500
Fax:
Practice Mailing Information
3333 HYLAN BLVD
STATEN ISLAND, NY 10306-3608 US
Phone:
Fax:
License NumberState
031134NY
25MP00516300NJ