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Individual
MS. KAREN FORMATO
Active
Individual
MS. KAREN FORMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000218
LICENSE NUMBER
NY
Enumeration date
06/15/2007
Last updated
02/18/2009
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