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Stefanie G. Formato, COTA

Occupational Therapist in Newburgh, NY. Individual provider (NPI-1).

NPI number1730441007
StatusActive
Last updated in NPPESNov 29, 2023

Details

NPI
1730441007
Entity type
Individual (NPI-1)
Name
Ms. Stefanie G. Formato
Credential
COTA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 13, 2012
Certification date
Nov 29, 2023
Last updated
Nov 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist––Yes

Practice location

249 Broadway
Orange Ahrc
Newburgh, NY 12550

Phone 845-564-1855

Mailing address

249 Broadway
Orange Ahrc
Newburgh, NY 12550

Phone 845-564-1855

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