Individual
DR. MICHAEL LICATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 649-9000
(716) 649-9005
Mailing address
3040 AMSDELL RD, HAMBURG, NY 14075-5835
(716) 649-9000
(716) 649-9005
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
184241-1
NY
2085R0202X
Diagnostic Radiology Physician
184241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026372703
UNIVERA HEALTHCARE
NY
01
—
000523460013
BCBS
NY
05
—
01528734
—
NY
01
—
040426000284
FIDELIS CARE OF NEW YORK
NY
01
—
113586FF
PREFERRED CARE
NY
01
—
1609206
INDEPENDENT HEALTH
NY
01
—
300080525
RR MEDICARE
NY
Enumeration date
03/14/2006
Last updated
09/16/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us