Individual
MRS. JOANN M RANDAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
2115 UNION BLVD, 2ND FLOOR, BAY SHORE, NY 11706-8017
(631) 991-8291
(631) 789-0861
Mailing address
140 S 6TH ST, LINDENHURST, NY 11757-4629
(631) 806-6005
(631) 789-0861
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006124
NY
Other
Enumeration date
09/24/2006
Last updated
08/12/2009
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