Individual provider · Type 1 NPI
Tiffany Randazzo
Gerontology Nurse Practitioner · Manhasset, NY
NPI number
1144738543
Active
Practice location
300 Community Dr
Manhasset, NY 11030-3816
Mailing address
3584 Roger Dr
Wantagh, NY 11793-2627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | F308307-1 (NY) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1144738543
Tiffany Randazzo's National Provider Identifier is 1144738543, issued on Jan 19, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Manhasset, NY. The record was last updated on Jan 19, 2018.