National Provider Identifier
Alexandra Marie Licastro, RN
Alexandra Marie Licastro, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Niagara Falls, NY and a listed phone number of (716) 957-2789.
Profile Overview
- NPI
- 1982237939
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- February 18, 2020
- Last Updated
- February 18, 2020
Practice Location
- 754 61St St
- Niagara Falls, NY 14304-2117
Phone: (716) 957-2789
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1982237939
- Entity Type
- Individual
- Last Name
- Licastro
- First Name
- Alexandra
- Middle Name
- Marie
- Credential
- RN
- Mailing Street Address
- 754 61St St
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14304-2117
- Mailing Country
- US
- Mailing Phone
- (716) 957-2789
- Practice Street Address
- 754 61St St
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14304-2117
- Practice Country
- US
- Practice Phone
- (716) 957-2789
- Enumeration Date
- February 18, 2020
- Last Updated
- February 18, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 18, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)