| Doctor Name: | KAREN PICINICH |
| NPI Number: | 1417376443 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D. CDN |
| License Number: | 006198-1 |
| Business Practice Address: | 1285 Montauk Hwy Copiague, NY - 117264936 |
| Business Phone Number: | 6317673410 |
| Business Fax Number: | |
| Mailing Address: | 66 W Gates Ave, LINDENHURST |
| State: | NY |
| Postal Code: | 117574739 |
| Phone Number: | 6317673410 |
| Fax Number: | |
| NPI Enumeration Date: | 04/07/2014 |
| NPI Last Update Date: | 04/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1005X |
| License Number: | 006198-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Renal |
| Taxonomy Definition: | |