CHARLES LICCESE
NPI 1205546199
Nurse Practitioner - Psychiatric/Mental Health in East Meadow, NY

Q: What is Charles Liccese's NPI number?

The NPI number for Charles Liccese is 1205546199. It was assigned to this individual provider in the NPPES registry on December 1, 2022.

Q: What is Charles Liccese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Charles Liccese was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 01, 2022

1816 ALBERMARLE AVE, EAST MEADOW, NY 11554(516) 315-1641 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Charles Liccese NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES LICCESE (NPI 1205546199) is an individual psychiatric/mental health provider in East Meadow, New York, licensed in New York (F405204-01) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1205546199

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameCHARLES LICCESE

Location Address1816 ALBERMARLE AVEEast Meadow, NY 11554-1617

Mailing Address1816 Albermarle AveEast Meadow, NY 11554-1617 · (516) 315-1641

Phone(516) 315-1641

Sole ProprietorYes

Enumeration DateDecember 1, 2022

Last NPPES UpdateSeptember 26, 2023

NPPES CertifiedSeptember 26, 2023

✔ NPI 1205546199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F405204-01

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1816 ALBERMARLE AVE, East Meadow, NY 11554

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Liccese's NPI number?

The NPI number for Charles Liccese is 1205546199. It was assigned to this individual provider in the NPPES registry on December 1, 2022.

Where is Charles Liccese located?

Charles Liccese practices at 1816 Albermarle Ave, East Meadow, NY 11554. The listed phone number is (516) 315-1641.

What is Charles Liccese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Charles Liccese was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.