Anthony Liccini

Pediatrics | Male

Anthony Liccini is a Boise, Idaho based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Anthony Liccini is 190 E Bannock St, Boise, Idaho - 83712-6241. He can be contacted on phone at 208-381-8752 and fax number 509-865-5783. Anthony Liccini is a sole proprietor of his business.
NPI number (Unique professional ID) for Anthony Liccini is 1225569551 which was assigned by NPPES on 27 Mar, 2017 and it was last updated on 19 Aug, 2022. Anthony Liccini license number is M-16632 for Pediatrics (208000000X) in Idaho.
Anthony Liccini is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Anthony Liccini basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Anthony Liccini
Gender :Male
Business Address:
Anthony Liccini address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :190 E Bannock St
Boise, ID, 83712-6241
United States
Phone Number :208-381-8752
Fax Number :509-865-5783
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1225569551
NPI Entity Type : Individual
First Enrolment Date : 27 Mar, 2017
Last Updated On : 19 Aug, 2022
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Anthony Liccini are as mentioned. Primary taxonomy code for Anthony Liccini is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsNoMD61058990WA
208000000XPediatricsYesM-16632ID
Other Practice Locations:
Practice AddressCity, StatePhone Number
510 W 1ST AVE,
TOPPENISH, WA, 98948-1564
United States
TOPPENISH, WA509-865-5600
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint TypeEndpointAffiliationUseContentAddress
DIRECT
(Direct Messaging Address)
aliccini34089@yvfwc.direct-ci.com

YVFWC Direct Email Address
No affiliationDIRECT

OTHER

CCDA
510 W 1st Ave,
Toppenish, WA, 98948-1564
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :305 E Jefferson St
Boise, ID, 83712-6231
United States
Phone Number :208-345-0715
Business Location:
Patients can refer following map for directions to Anthony Liccini practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.