Provider Demographics
NPI:1568600732
Name:CARMANY, KAREN FISCHBECK (RD, CD/N)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:FISCHBECK
Last Name:CARMANY
Suffix:
Gender:F
Credentials:RD, CD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 ANNETTE ST
Mailing Address - Street 2:P.O. BOX 97
Mailing Address - City:HEUVELTON
Mailing Address - State:NY
Mailing Address - Zip Code:13654-4605
Mailing Address - Country:US
Mailing Address - Phone:315-344-7925
Mailing Address - Fax:
Practice Address - Street 1:80 STATE HIGHWAY 310 SUITE 2
Practice Address - Street 2:ST.LAWRENCE COUNTY PUBLIC HEALTH DEPT.
Practice Address - City:CANTON
Practice Address - State:NY
Practice Address - Zip Code:13617-9910
Practice Address - Country:US
Practice Address - Phone:315-386-2325
Practice Address - Fax:315-386-2781
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002713-1133V00000X
710741133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered