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

Mr. Michael Liccese Jr., RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1720332943

Mr. Michael Liccese Jr., RN is a Psychiatric/Mental Health Registered Nurse in Smithtown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

5 Weatherstone Way
Smithtown, NY 11787-2244
Phone: (631) 979-0424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 3806831 (NY)

Record details

NPI number1720332943
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedNovember 9, 2012
Last updated in NPPESNovember 9, 2012
Mailing address5 Weatherstone Way, Smithtown, NY 11787-2244

Other providers in Smithtown