DR. Michael Licata, MD

NPI #1306814579 in Buffalo, New York

Provider Information

NPI Number: 1306814579
Entity Type: Individual
Name: DR. Michael Licata, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Radiology - Body Imaging
Credential: MD
Enumeration Date: Mar 14, 2006
Last Updated: Sep 16, 2013

Practice Location

Address: 2157 MAIN ST
City: Buffalo
State: New York
ZIP Code: 14214-2648
Phone: (716) 649-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Body Imaging — Body Imaging	2085B0100X	Primary
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X

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Organizations

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