Robert J Licul in Westbury - Oral And Maxillofacial Pathology
Robert J Licul - NPI 1700869765
Robert J Licul is a Oral And Maxillofacial Pathology in Westbury, New York. Robert J Licul practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Robert J Licul is 1700869765. The last update date is 2008-04-17.
Robert J Licul's current location address is 959 Brush Hollow Rd, Westbury, New York. You can contact this provider via phone number 5163335900 and fax number 5163335868. The mailing address for Robert J Licul is 959 Brush Hollow Rd, Westbury, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert J Licul |
|---|---|
| Address | 959 Brush Hollow Rd, Westbury, New York |
| Phone Number | 5163335900 |
| Fax Number | 5163335868 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1700869765 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2008-04-17 |
Provider Mailing Address Detail
| Address | 959 Brush Hollow Rd |
|---|---|
| City | Westbury |
| State | New York (NY) |
| Post Code | 115901778 |
| Phone Number | 5163335900 |
| Fax Number | 5163335868 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Pathology |
|---|---|
| Taxonomy | 1223P0106X |
| Licence No | 44656 |
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Definition: The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2071410 | NY | -- |
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What is the unique identification code assigned to Robert J Licul by the Centers for Medicare & Medicaid Services?
The Robert J Licul has been issued the NPI (National Provider Identifier) 1700869765. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Robert J Licul located?
The Robert J Licul is located at 959 Brush Hollow Rd, Westbury, NY 115901778.
What is the Robert J Licul's area of specialization and corresponding taxonomy classification?
The Robert J Licul's specialty field is Oral And Maxillofacial Pathology, and it falls under the taxonomy code 1223P0106X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700869765 to Robert J Licul?
The Centers for Medicare & Medicaid Services originally issued the 1700869765 to Robert J Licul on 2005-11-23.
As of what date were the details pertaining to Robert J Licul last refreshed?
The information related to the Robert J Licul, including its address, specialty, and other relevant details, was last updated on 2008-04-17.
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