Individual
MR. RANDY EMMANUEL LARATTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4277 65TH PL, WOODSIDE, NY 11377-5054
(718) 429-2000
(718) 334-0057
Mailing address
170 JOHN ST, ENGLEWOOD, NJ 07631-2226
(845) 821-5315
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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