National Provider Identifier
Adam Licata
Adam Licata is listed in the NPPES registry with a primary specialty of Physical Therapist in Kenmore, NY and a listed phone number of (716) 423-2262.
Profile Overview
- NPI
- 1750266615
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 09, 2025
- Last Updated
- August 09, 2025
Practice Location
- 2760 Delaware Avenue
- Kenmore, NY 14217
Phone: (716) 423-2262
Mailing Address
- 106 Shepard Avenue
- Kenmore, NY 14217
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1750266615
- Entity Type
- Individual
- Last Name
- Licata
- First Name
- Adam
- Mailing Street Address
- 106 Shepard Avenue
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217
- Mailing Country
- US
- Mailing Phone
- (716) 578-4536
- Practice Street Address
- 2760 Delaware Avenue
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217
- Practice Country
- US
- Practice Phone
- (716) 423-2262
- Enumeration Date
- August 09, 2025
- Last Updated
- August 09, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- August 07, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)