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Individual
DR. JON JOSEPH RANDAZZO
Active
Individual
DR. JON JOSEPH RANDAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007603-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-3202120
NATIONAL HEALTH PLAN
NY
01
—
5897310
GHI, GROUP HEALTH INC. #
NY
01
—
CO 7603-1
NEW YORK WORKERS COMP
NY
01
—
P41-5011
OXFORD
NY
Enumeration date
06/06/2007
Last updated
10/06/2011
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