Jon Joseph Randazzo DC

NPI 1639372022 - Chiropractor - 111N00000X

NPI Details
NPI 1639372022
Gender Male
Enumeration Date 06/06/2007
Last Updated 10/06/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
10515 LIBERTY AVE
OZONE PARK NY, 11417-1809, US
Phone (718) 843-7720
Fax
Business Location
PO BOX 70160
STATEN ISLAND NY, 10307-0160, US
Phone (718) 843-7720
Fax
Toxanomy
Taxonomy Code 111N00000X
License State New York
License Number X007603-1
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According to our database, Dr. Jon Joseph Randazzo DC NPI is 1639372022, taxonomy code is 111N00000X and license number is X007603-1, license state is located at New York. Jon Joseph Randazzo DC physically located at 10515 Liberty Ave, Ozone Park NY, 11417-1809. NPI Number Jon Joseph Randazzo DC has the Individual type.

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1639372022 NPI number is provided on an as is basis without warranty of any kind. 1639372022 is maintained by the National Plan & Provider Enumeration System. The contents of Jon Joseph Randazzo DC are for informational purposes only.