MS. MARYANNA LICATA NP
NPI 1336515808
Nurse Practitioner - Family in Valley Stream, NY

Q: What is Maryanna Licata's NPI number?

The NPI number for Maryanna Licata is 1336515808. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Q: What is Maryanna Licata's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Maryanna Licata was last updated on August 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 August 19, 2015

1605 SOUTHERN DR, VALLEY STREAM, NY 11580(516) 526-2623 Get Directions Write a Review

NPPES record last updated: August 19, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ms. Maryanna Licata Np NPPES

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

MS. MARYANNA LICATA NP (NPI 1336515808) is an individual family provider in Valley Stream, New York, licensed in New York (F331097-1) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1336515808

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. MARYANNA LICATACredential: NP

Location Address1605 SOUTHERN DRValley Stream, NY 11580-1237

Mailing Address1605 Southern DrValley Stream, NY 11580-1237 · (516) 526-2623

Phone(516) 526-2623

Sole ProprietorNo

Enumeration DateAugust 19, 2015

✔ NPI 1336515808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F331097-1

1605 SOUTHERN DR, Valley Stream, NY 11580

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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 Maryanna Licata's NPI number?

The NPI number for Maryanna Licata is 1336515808. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Where is Maryanna Licata located?

Maryanna Licata practices at 1605 Southern Dr, Valley Stream, NY 11580. The listed phone number is (516) 526-2623.

What is Maryanna Licata's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Maryanna Licata was last updated on August 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.