Individual provider · Type 1 NPI

Michael Formato, MS OTR/L

Specialist · Massapequa, NY

NPI number 1710258454 Active

Practice location

101 Paget Ln
Massapequa, NY 11758-3752

Call (516) 541-1664 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X0141391 (NY)

Specialist: 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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About NPI 1710258454

Michael Formato, MS OTR/L's National Provider Identifier is 1710258454, issued on Jan 25, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Massapequa, NY. The record was last updated on Jan 25, 2012.