Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Licata, MD

Individual provider Body Imaging Physician · NPI 1306814579

Dr. Michael Licata, MD is a Body Imaging Physician in Buffalo, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2157 Main St
Buffalo, NY 14214-2648
Phone: (716) 649-9000
Fax: (716) 649-9005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Body Imaging Physician (primary) Taxonomy 2085B0100X · Licence 184241-1 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 184241 (NY)

Record details

NPI number1306814579
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESSeptember 16, 2013
Mailing address3040 Amsdell Rd, Hamburg, NY 14075-5835

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