DR. Rachel Anjelica Licea, MD is a student in an organized health care education training program in Bay Shore, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Rachel Anjelica Licea, MD NPI is 1285375329. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
301 E MAIN ST
BAY SHORE, NY
ZIP 11706-408
Phone: (631) 894-5943
The enumeration date for this NPI number is 4/5/2022 and was last updated on 4/5/2022.