Dr MICHAEL LICATA MD is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1989 from State University Of New York At Buffalo School Of Medicine.
SRA MEDICAL IMAGING LLC
94 OLEAN ST
EAST AURORA
NY
140522531
Tel: 7166552525
| Npi | 1306814579 |
| Pac Id | 6305824533 |
| Professional Enrollment Id | I20040713000587 |
| Last Name | LICATA |
| First Name | MICHAEL |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SRA MEDICAL IMAGING LLC |
| Group Practice Pac Id | 1759369663 |
| Number Of Group Practice Members | 26 |
| Line 1 Street Address | 94 OLEAN ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EAST AURORA |
| State | NY |
| Zip Code | 140522531 |
| Phone Number | 7166552525 |
| Hospital Affiliation Ccn 1 | 330078 |
| Hospital Affiliation Lbn 1 | SISTERS OF CHARITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 330279 |
| Hospital Affiliation Lbn 2 | MERCY HOSPITAL OF BUFFALO |
| Hospital Affiliation Ccn 3 | 330102 |
| Hospital Affiliation Lbn 3 | KENMORE MERCY HOSPITAL |
| Hospital Affiliation Ccn 4 | 330005 |
| Hospital Affiliation Lbn 4 | KALEIDA HEALTH |
| Hospital Affiliation Ccn 5 | 330111 |
| Hospital Affiliation Lbn 5 | BERTRAND CHAFFEE HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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