Individual
DEBORAH LYN RANDAISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.A
Contact information
Practice address
1375 WASHINGTON AVE, SUITE 101, ALBANY, NY 12206-1056
(518) 438-4483
(518) 482-4201
Mailing address
1375 WASHINGTON AVE, SUITE 101, ALBANY, NY 12206-1056
(518) 438-4483
(518) 482-4201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009073-1
NY
Other
Enumeration date
07/07/2006
Last updated
07/18/2012
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