Individual
DR. JOHN RANDAZZO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
285 SILLS RD STE D, EAST PATCHOGUE, NY 11772-4869
(631) 654-5566
Mailing address
285 SILLS RD STE D, EAST PATCHOGUE, NY 11772-4869
(631) 604-4948
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N007109
NY
Other
Enumeration date
06/21/2017
Last updated
07/16/2020
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