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Mr. Michael Formato, MSOTR/L
Specialist in Massapequa, New York
NPI 1710258454

Michael Formato is a Specialist based in Massapequa, NY. Michael Formato practices in Massapequa, NY and has the professional credentials of MSOTR/L. The NPI Number for Michael Formato is 1710258454 and holds a License No. 0141391 (New York).

The current practice location address for Michael Formato is 101 Paget Ln, Massapequa, NY and can be reached out via phone at 516-541-1664.

Location: 101 Paget Ln, Massapequa, NY, 11758-3752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710258454
Provider Name
Michael Formato
Credential
MSOTR/L
Provider Entity Type
Individual
Gender
Male
Address
101 Paget Ln, Massapequa, NY, 11758-3752
Phone Number
516-541-1664
Fax Number
Provider Enumeration Date
01/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 Paget Ln
City
Massapequa
State
New York
Zip
11758-3752
Phone Number
516-541-1664
Fax Number
person
Provider Business Mailing Address Details
Address
101 Paget Ln
City
Massapequa
State
New York
Zip
11758-3752
Phone Number
516-541-1664
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0141391 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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