MICHAEL ROBERT LICATA

MINEOLA, NY
NPI1417768334
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2025-01-20
Last Update Date2025-01-20
Business Address
MICHAEL ROBERT LICATA MSPAS, PA-C
161 WILLIS AVE
MINEOLA, NY 11501-2616
Phone number: 516-280-6645
Mailing Address
MICHAEL ROBERT LICATA MSPAS, PA-C
161 WILLIS AVE
MINEOLA, NY 11501-2616
Phone number: 516-280-6645
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