Doctor Name: | MRS. JOANN M RANDAZZO |
NPI Number: | 1881794451 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, CDN |
License Number: | 006124 |
Business Practice Address: | 2115 Union Blvd 2nd Floor Bay Shore, NY - 117068017 |
Business Phone Number: | 6319918291 |
Business Fax Number: | 6317890861 |
Mailing Address: | 140 S 6th St, LINDENHURST |
State: | NY |
Postal Code: | 117574629 |
Phone Number: | 6318066005 |
Fax Number: | 6317890861 |
NPI Enumeration Date: | 09/24/2006 |
NPI Last Update Date: | 08/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 006124 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |