National Provider Identifier
Sandra A Licata, DC
Sandra A Licata, DC is listed in the NPPES registry with a primary specialty of Chiropractor in Batavia, NY and a listed phone number of (585) 343-5311.
Profile Overview
- NPI
- 1760448104
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- April 25, 2006
- Last Updated
- April 28, 2020
Practice Location
- 542 E Main St
- Batavia, NY 14020-2740
Phone: (585) 343-5311
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1760448104
- Entity Type
- Individual
- Last Name
- Licata
- First Name
- Sandra
- Middle Name
- A
- Name Prefix
- Dr.
- Credential
- DC
- Mailing Street Address
- 542 E Main St
- Mailing City
- Batavia
- Mailing State
- NY
- Mailing ZIP Code
- 14020-2740
- Mailing Country
- US
- Mailing Phone
- (585) 343-5311
- Mailing Fax
- (585) 343-2146
- Practice Street Address
- 542 E Main St
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-2740
- Practice Country
- US
- Practice Phone
- (585) 343-5311
- Practice Fax
- (585) 343-2146
- Enumeration Date
- April 25, 2006
- Last Updated
- April 28, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 28, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)