Most Relevant Information
Provider Data
| NPI Number: | 1003034174 |
| Provider Name: | MAUREEN LICURSI CPNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | F381491 |
Most Important Dates
| Enumeration Date: | 04/23/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
161 FORT WASHINGTON AVE
7TH FLOOR
NEW YORK
NY
100323729
Practice Location Phone/Fax
| Phone: | 2123052466 |
| Fax: |
Provider Mailing Location
161 FORT WASHINGTON AVE
7TH FLOOR
NEW YORK
NY
100323729
Provider Mailing Phone/Fax
| Phone: | 2123052466 |
| Fax: |