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

Kandace R Licciardi, MD

Individual provider Psychiatry Physician · NPI 1538425137

Kandace R Licciardi, MD is a Psychiatry Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

392 Seguine Ave
Staten Island, NY 10309-3906
Phone: (718) 226-2275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 285000 (NY)

Record details

NPI number1538425137
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2012
Last updated in NPPESNovember 14, 2019

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