Individual
DIANE RANDAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18 WEEKS ST, BLUE POINT, NY 11715-1513
(631) 419-6300
(888) 880-9756
Mailing address
18 WEEKS ST, BLUE POINT, NY 11715-1513
(631) 419-6300
(888) 880-9756
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
008337-1
NY
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/01/2016
Last updated
11/20/2019
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