Michelle G Licciardello in Oswego - Physical Therapist
Michelle G Licciardello - NPI 1730238585
Michelle G Licciardello is a Physical Therapist in Oswego, New York. Michelle G Licciardello practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Michelle G Licciardello is 1730238585. The last update date is 2007-07-08.
Michelle G Licciardello's current location address is 90 W Utica St, Oswego, New York. You can contact this provider via phone number 3153422738 and fax number 3153422815. The mailing address for Michelle G Licciardello is 90 W Utica St, Oswego, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle G Licciardello |
|---|---|
| Address | 90 W Utica St, Oswego, New York |
| Phone Number | 3153422738 |
| Fax Number | 3153422815 |
| Sole Proprietor | N |
| Credentials | PT, CERT M |
NPI Number Detail
| NPI Number | 1730238585 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 90 W Utica St |
|---|---|
| City | Oswego |
| State | New York (NY) |
| Post Code | 131263048 |
| Phone Number | 3153422738 |
| Fax Number | 3153422815 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 134981 |
|
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4130726 | NY | MVP SELECT CARE | |
| 11353159 | NY | CAQH NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michelle G Licciardello by the Centers for Medicare & Medicaid Services?
The Michelle G Licciardello has been issued the NPI (National Provider Identifier) 1730238585, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Michelle G Licciardello is located?
The Michelle G Licciardello is situated at the following address: 90 W Utica St, Oswego, NY, 131263048.
What is Michelle G Licciardello's area of expertise and its corresponding taxonomy classification?
The Michelle G Licciardello's field of specialization is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Michelle G Licciardello receive its 1730238585 assignment from the Centers for Medicare & Medicaid Services?
The Michelle G Licciardello was assigned its 1730238585 by the Centers for Medicare & Medicaid Services on 2007-01-10.
As of what date was the information regarding Michelle G Licciardello, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michelle G Licciardello, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.