Deborah Lyn Randaisi R.P.A

NPI 1073545166 - Physician Assistant - 363A00000X

NPI Details
NPI 1073545166
Gender Female
Enumeration Date 07/07/2006
Last Updated 07/18/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1375 WASHINGTON AVE
SUITE 101
ALBANY NY, 12206-1056, US
Phone (518) 438-4483
Fax (518) 482-4201
Business Location
1375 WASHINGTON AVE
SUITE 101
ALBANY NY, 12206-1056, US
Phone (518) 438-4483
Fax (518) 482-4201
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 009073-1
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According to our database, Deborah Lyn Randaisi R.P.A NPI is 1073545166, taxonomy code is 363A00000X and license number is 009073-1, license state is located at New York. Deborah Lyn Randaisi R.P.A physically located at 1375 Washington Ave, Albany NY, 12206-1056. NPI Number Deborah Lyn Randaisi R.P.A has the Individual type.

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1073545166 NPI number is provided on an as is basis without warranty of any kind. 1073545166 is maintained by the National Plan & Provider Enumeration System. The contents of Deborah Lyn Randaisi R.P.A are for informational purposes only.