Michael Licata is a Diagnostic Radiology Physician based in Hamburg, NY and is specialized in Diagnostic Radiology. Michael Licata practices in Buffalo, NY and has the professional credentials of MD. The NPI Number for Michael Licata is 1306814579 and holds a License No. 184241-1 (New York).
The current practice location address for Michael Licata is 2157 Main St, Buffalo, NY and can be reached out via phone at 716-649-9000 and via fax at 716-649-9005.
| 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 | |
| 000523460013 | 01 | NY | BCBS |
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