Individual
KAREN PICINICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D. CDN
Contact information
Practice address
1285 MONTAUK HWY, COPIAGUE, NY 11726-4936
(631) 767-3410
Mailing address
66 W GATES AVE, LINDENHURST, NY 11757-4739
(631) 767-3410
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006198-1
NY
133VN1005X
Renal Nutrition Registered Dietitian
006198-1
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
006198-1
NY
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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