| Michael Robert Licata, MSPAS, PA-C | |
|
161 Willis Ave, Mineola, NY 11501-2616 | |
| (516) 280-6645 | |
| Not Available |
| Full Name | Michael Robert Licata |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 161 Willis Ave, Mineola, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417768334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Robert Licata, MSPAS, PA-C 161 Willis Ave, Mineola, NY 11501-2616 Ph: (516) 280-6645 | Michael Robert Licata, MSPAS, PA-C 161 Willis Ave, Mineola, NY 11501-2616 Ph: (516) 280-6645 |
Gina Carucci, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-0333 | |
Mr. James Valloor, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 419 Wilson Blvd, Mineola, NY 11501 Phone: 516-395-4229 | |
Monica Da Silva Oliveira, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Old Country Rd, Mineola, NY 11501 Phone: 516-877-0977 | |
Charles Summers, CHARLES SUMMERS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-8312 Fax: 516-663-2184 | |
Miss Michele White, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2337 | |
Aimee Hsu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-8312 | |
Mrs. Anastasiya Apanasyuk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Mineola Blvd Ste 500, Mineola, NY 11501 Phone: 516-663-9500 |