Michael R. Licata, MSPAS, PA-C
Physician Assistant · Mineola, NY
UnclaimedMSPAS, PA-CNPI 1417768334
- Primary taxonomy
- 363A00000X
- Enumerated
- 2025-01-20
- Practice location
- Mineola, NY
- Last NPPES update
- 2025-01-20
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.