Individual
KAREN INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
27 FOX LN, COMMACK, NY 11725-2027
(631) 374-6300
(516) 932-6366
Mailing address
27 FOX LN, COMMACK, NY 11725-2027
(631) 374-6300
(516) 932-6366
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
808300
NY
Other
Enumeration date
04/22/2009
Last updated
12/02/2016
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