Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | X007780 | NY |
N | 111NN1001X | Nutrition | 5850 | AZ |
N | 111NN1001X | Nutrition | X007780 | NY |
NPI | 1538360672 |
---|---|
Provider Name | Dr. Linda L. Randazzo |
First Address | White Plains, NY 10606-1539 |
Second Address | White Plains, NY 10606-1539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 13/03/2014 |