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

Martha Mary Kicak, LPN

Individual provider Licensed Practical Nurse · NPI 1104230317

Martha Mary Kicak, LPN is a Licensed Practical Nurse in Syracuse, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

2105 W Genesee St
Syracuse, NY 13219-1656
Phone: (315) 468-3239
Fax: (315) 468-2917
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 082747 (NY)

Record details

NPI number1104230317
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedJune 16, 2014
Last updated in NPPESJune 16, 2014

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