Individual provider · Type 1 NPI

Michael Robert Licata, MSPAS, PA-C

Physician Assistant · Mineola, NY

NPI number 1417768334 Active

Practice location

161 Willis Ave
Mineola, NY 11501-2616

Call (516) 280-6645 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1417768334

Michael Robert Licata, MSPAS, PA-C's National Provider Identifier is 1417768334, issued on Jan 20, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mineola, NY. The record was last updated on Jan 20, 2025.