Licata, David S.

Licata, David S. is an individual health care provider with primary practice located at 8070 Transit Rd , Williamsville NY 14221-4116. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Licata, David S. can be contacted via phone (716) 631-3860.

Contact Information

Primary practice address
8070 Transit Rd Williamsville NY 14221-4116
Fax: (716) 631-3860
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X C004881-1 New York

Profile Details

NPI number 1922136464
LBN Legal business name Licata, David S.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Dec 20th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922136464 NPPES
New York Other 000300065003 BLUE CROSS/BLUE SHIELD
New York Other 333691 BLUE CROSS/BLUE SHIELD
New York Other 000300065001 BLUE CROSS/BLUE SHIELD
New York Other 333541 BLUE CROSS/BLUE SHIELD
New York Other 46032 BLUE CROSS/BLUE SHIELD
New York Other 46028 BLUE CROSS/BLUE SHIELD
New York Other 00026918201 BLUE CROSS/BLUE SHIELD
New York Other 7310246 BLUE CROSS/BLUE SHIELD
New York Other 000528441002 BLUE CROSS/BLUE SHIELD
New York Other OP2234-01 BLUE CROSS/BLUE SHIELD
New York Other OP2234-02 BLUE CROSS/BLUE SHIELD
New York Other 0007025821 BLUE CROSS/BLUE SHIELD

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