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
Phone: (347) 372-0345
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
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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