National Provider Identifier
Katherine Licata, PA
Katherine Licata, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 602-0100.
Profile Overview
- NPI
- 1750802351
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 05, 2017
- Last Updated
- July 22, 2023
Practice Location
- 60 Greece Center Dr Ste 4
- Rochester, NY 14612-1358
Phone: (585) 602-0100
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Endpoints
- klicata107892@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1750802351
- Entity Type
- Individual
- Last Name
- Licata
- First Name
- Katherine
- Credential
- PA
- Mailing Street Address
- 60 Greece Center Dr Ste 4
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-1358
- Mailing Country
- US
- Mailing Phone
- (585) 602-0100
- Practice Street Address
- 60 Greece Center Dr Ste 4
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-1358
- Practice Country
- US
- Practice Phone
- (585) 602-0100
- Enumeration Date
- July 05, 2017
- Last Updated
- July 22, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 25, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)