Individual
MR. DAVID S. LICATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8070 TRANSIT RD, WILLIAMSVILLE, NY 14221-4116
(716) 631-3860
(716) 631-3860
Mailing address
8070 TRANSIT RD, WILLIAMSVILLE, NY 14221-4116
(716) 631-3860
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C004881-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026918201
UNIVERA
NY
01
—
000300065001
BLUE CROSS/BLUE SHIELD
NY
01
—
000300065003
BLUE CROSS/BLUE SHIELD
NY
01
—
000528441002
COMMUNITY BLUE
NY
01
—
0007025821
AETNA
NY
01
—
333541
NVA
NY
01
—
333691
NVA
NY
01
—
46028
SPECTERA
NY
01
—
46032
SPECTERA
NY
01
—
7310246
INDEPENDENT HEALTH
NY
01
—
OP2234-01
EYEMED
NY
01
—
OP2234-02
EYEMED
NY
Enumeration date
02/28/2007
Last updated
12/20/2007
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