MICHAEL FORMATO

MASSAPEQUA, NY
NPI1710258454
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  0141391)
Enumeration Date2012-01-25
Last Update Date2012-01-25
Business Address
Mr. MICHAEL FORMATO MS OTR/L
101 PAGET LN
MASSAPEQUA, NY 11758-3752
Phone number: 516-541-1664
Mailing Address
Mr. MICHAEL FORMATO MS OTR/L
101 PAGET LN
MASSAPEQUA, NY 11758-3752
Phone number: 516-541-1664
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