Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Nicholas Licciardello, PA-C

Individual provider Medical Physician Assistant · NPI 1588174122

Mr. Nicholas Licciardello, PA-C is a Medical Physician Assistant in Richmond Hill, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8900 Van Wyck Expy
Richmond Hill, NY 11418-2832
Phone: (347) 942-4099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 021389 (NY)

Record details

NPI number1588174122
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 10, 2017
Last updated in NPPESOctober 10, 2017

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