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

Charles Liccese

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205546199

Charles Liccese is a Student in an Organized Health Care Education/Training Program in East Meadow, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

East Meadow, NY

No coordinates on file. Search this address in Google Maps

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F405204-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205546199
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 1, 2022
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

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