Michael Licata is a Body Imaging in Hamburg, New York. Michael Licata practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Michael Licata is 1306814579. The last update date is 2013-09-16.
Michael Licata's current location address is 3040 Amsdell Rd, Hamburg, New York. You can contact this provider via phone number 7166499000 and fax number 7166499005. The mailing address for Michael Licata is 3040 Amsdell Rd, Hamburg, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Licata |
|---|---|
| Address | 3040 Amsdell Rd, Hamburg, New York |
| Phone Number | 7166499000 |
| Fax Number | 7166499005 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306814579 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2013-09-16 |
Provider Mailing Address Detail
| Address | 3040 Amsdell Rd |
|---|---|
| City | Hamburg |
| State | New York (NY) |
| Post Code | 140755835 |
| Phone Number | 7166499000 |
| Fax Number | 7166499005 |
Provider's Primary Taxonomy Detail
| Speciality | Body Imaging |
|---|---|
| Taxonomy | 2085B0100X |
| Licence No | 184241-1 |
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Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26372703 | NY | UNIVERA HEALTHCARE | |
| 300080525 | NY | RR MEDICARE | |
| 40426000284 | NY | FIDELIS CARE OF NEW YORK | |
| 113586FF | NY | PREFERRED CARE | |
| 1609206 | NY | INDEPENDENT HEALTH | |
| 1528734 | NY | -- | |
| 523460013 | NY | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Licata by the Centers for Medicare & Medicaid Services?
The Michael Licata has been issued the NPI (National Provider Identifier) 1306814579, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael Licata?
The Michael Licata is physically situated at 3040 Amsdell Rd, in the city of Hamburg, state of NY, with the postal code 140755835.
What is Michael Licata's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael Licata is Body Imaging, and the taxonomy classification code that categorizes this area of expertise is 2085B0100X.
On what date did the Michael Licata receive the assignment of its 1306814579 from the Centers for Medicare & Medicaid Services?
The Michael Licata was issued its 1306814579 by the Centers for Medicare & Medicaid Services on 2006-03-14.
When was the Michael Licata's information last updated?
The Michael Licata's information was last updated on 2013-09-16.