Individual
ALLISON MARIE RANDAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5466
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1137455
NY
Other
Enumeration date
09/16/2016
Last updated
08/31/2023
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