Arthur Calica Liclican, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

115231 Issued in NY

Practice address

1556 Straight Path
Wyandanch, NY 11798

Phone

(631) 854-1700

Fax

(631) 854-1786

NPI assigned

Sep 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Suffolk

  • Home Health Agency
  • Great River, NY
  • NPI 1497859615
  NPD (past)
• County of Suffolk

  • Home Health Agency
  • Great River, NY
  • NPI 1871506055
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1255435665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 STRAIGHT PATH",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "11798",
            "telephone_number": "631-854-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 STRAIGHT PATH",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "11798",
            "telephone_number": "631-854-1700",
            "fax_number": "631-854-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICLICAN",
        "first_name": "ARTHUR",
        "middle_name": "CALICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "115231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00211972",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dora Mae Kittles
• Donna Klein, LMSW
• Leticia Langdet
• Keonia Leake
• Samantha Lester, LMSW
• Linda Pressley
• Data Longjohn, MD
• Loving Arms Inc.
• Sunubia J Lucas
• Martine Macdonald

• Internal Medicine Physician in Wyandanch, NY
• Providers in Wyandanch, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.