1306814579 Dr. Michael Licata, MD

Body Imaging Physician

Active

Basic Information

Full Name
Dr. Michael Licata, MD
Gender
Male
Enumeration Date
March 14, 2006
Last Update
September 16, 2013

Practice Location

Address
2157 MAIN ST
BUFFALO, NY 142142648
Phone
(716) 649-9000
Fax
(716) 649-9005

Mailing Address

Address
3040 AMSDELL RD
HAMBURG, NY 140755835
Phone
(716) 649-9000
Fax
(716) 649-9005

Specialties & Taxonomies

Specialty Code Classification License State Primary
Body Imaging Physician
Body Imaging
2085B0100X Radiology 184241-1 NY Primary
Diagnostic Radiology Physician
Diagnostic Radiology
2085R0202X Radiology 184241 NY No

Other Identifiers

Identifier Type State Issuer
00026372703 01 NY UNIVERA HEALTHCARE
300080525 01 NY RR MEDICARE
040426000284 01 NY FIDELIS CARE OF NEW YORK
113586FF 01 NY PREFERRED CARE
1609206 01 NY INDEPENDENT HEALTH
01528734 05 NY N/A
000523460013 01 NY BCBS

Frequently Asked Questions

What is Dr. Michael Licata, MD's NPI number?
Dr. Michael Licata, MD's NPI number is 1306814579.
Which doctor has NPI number 1306814579?
The doctor with NPI number 1306814579 is Dr. Michael Licata, MD.
What is Dr. Michael Licata, MD's practice address?
Dr. Michael Licata, MD's practice address is 2157 MAIN ST, BUFFALO, NY, 142142648.
Which doctor practices at 2157 MAIN ST, BUFFALO, NY, 142142648?
Dr. Michael Licata, MD practices at 2157 MAIN ST, BUFFALO, NY, 142142648.
What is Dr. Michael Licata, MD's mailing address?
Dr. Michael Licata, MD's mailing address is 3040 AMSDELL RD, HAMBURG, NY, 140755835.
What is Dr. Michael Licata, MD's phone number?
Dr. Michael Licata, MD's phone number is (716) 649-9000.
Who is (716) 649-9000?
(716) 649-9000 is the phone number for Dr. Michael Licata, MD.
What is Dr. Michael Licata, MD's specialty?
Dr. Michael Licata, MD's specialty is Body Imaging Physician.
What type of doctor is Dr. Michael Licata, MD?
Dr. Michael Licata, MD is a Body Imaging Physician.
Is Dr. Michael Licata, MD a Body Imaging?
Yes, Dr. Michael Licata, MD is a Body Imaging.
Is Dr. Michael Licata, MD still practicing?
Yes, Dr. Michael Licata, MD is currently practicing.
Is Dr. Michael Licata, MD accepting new patients?
Dr. Michael Licata, MD may be accepting new patients. Please call their office at (716) 649-9000 to inquire about availability.
Is NPI 1306814579 still active?
Yes, NPI 1306814579 is currently active.
Where does Dr. Michael Licata, MD practice?
Dr. Michael Licata, MD practices in BUFFALO, NY.
Is Dr. Michael Licata, MD a male or female doctor?
Dr. Michael Licata, MD is a male doctor.