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Provider Profile

Michael R. Licata, MSPAS, PA-C

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At a glance

About Michael Licata

Michael R. Licata, MSPAS, PA-C is a physician assistant practicing in Mineola, NY. This provider record is associated with NPI 1417768334.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2024

Specialty

Credentials & Licensing

NPINational Provider Identifier
1417768334Issued 2025

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Michael R. Licata, MSPAS?

Michael R. Licata, MSPAS is a physician assistant in Mineola, NY. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Michael R. Licata, MSPAS's address?

Michael R. Licata, MSPAS is listed at 161 Willis Ave, Mineola, NY 11501. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Michael R. Licata, MSPAS?

The number on file is (516) 280-6645. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Michael R. Licata, MSPAS's NPI number?

Michael R. Licata, MSPAS's National Provider Identifier is 1417768334. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Michael R. Licata, MSPAS train?

Michael R. Licata, MSPAS attended Other, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How long has Michael R. Licata, MSPAS been practicing?

Michael R. Licata, MSPAS has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

Has Michael R. Licata, MSPAS confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Michael R. Licata, MSPAS. If this is you, claiming it is free.

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