Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lich Faculty Practice

Organization Emergency Medicine Physician · NPI 1104018902

Lich Faculty Practice is an Emergency Medicine Physician in Brooklyn, New York. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
5

Practice location Address checks out

339 Hicks St
Brooklyn, NY 11201-5509
Phone: (718) 780-1961
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1104018902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Woods — Group Director · (718) 780-4764
NPI enumeratedAugust 15, 2007
Last updated in NPPESJune 18, 2008
Mailing address407 Airport Executive Park, Nanuet, NY 10954-5288

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