Individual
SAMANTHA ALI RANDAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
127 S BROADWAY, YONKERS, NY 10701-4006
(914) 378-7000
Mailing address
246 MULBERRY RD, RAMSEY, NJ 07446-1164
(845) 558-1968
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011187-01
NY
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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