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DR. RACHEL ANJELICA LICEA MD
NPI 1285375329
Student in an Organized Health Care Education/Training Program in Bay Shore, NY

Active since April 05, 2022
301 E MAIN ST, BAY SHORE, NY 11706(631) 894-5943 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Rachel Anjelica Licea Md NPPES

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

DR. RACHEL ANJELICA LICEA MD (NPI 1285375329) is an individual student in an organized health care education/training program in Bay Shore, New York and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1285375329
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. RACHEL ANJELICA LICEACredential: MD
Location Address301 E MAIN STBay Shore, NY 11706-8408
Mailing Address301 E Main StBay Shore, NY 11706-8408 · (631) 894-5943
Phone(631) 894-5943
Sole ProprietorNo
Enumeration DateApril 5, 2022
NPPES CertifiedApril 4, 2022
✔ NPI 1285375329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
301 E MAIN ST, Bay Shore, NY 11706
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EHAB SABRY HANNA M.D.
Hospitalist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
JENNA BANNON MS, RD, CDN
Dietitian, Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3593
DR. MEHUL PRAGANI MD
Anesthesiology
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
ANDREA PASSANNANTE OT, OTR/L, CDIS
Occupational Therapist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3400
DR. STEPHEN CONSTANTINE LANDELL DNP, CRNA, RN
Nurse Anesthetist, Certified Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (516) 734-7000
PRIYANSHI CHANDIWALA
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DAVID VAUGHANS DO
Student in an Organized Health Care Education/Training Program
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DR. MATTHEW DAVID SCHWARTZ D.O.
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3314

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 Rachel Licea's NPI number?

The NPI number for Rachel Licea is 1285375329. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Rachel Licea located?

Rachel Licea practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 894-5943.

What is Rachel Licea's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Rachel Licea was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.