Randazzo, Kelly

Randazzo, Kelly is an sole proprietor health care provider with primary practice located at 28 Petersons Ln , Staten Island NY 10309-2805. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Randazzo, Kelly can be contacted via phone (347) 372-0345.

Contact Information

Primary practice address
28 Petersons Ln Staten Island NY 10309-2805
Fax:
Website:

Profile Details

NPI number 1063134740
LBN Legal business name Randazzo, Kelly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2022
Last updated Sep 20th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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