Deborah Lyn Randaisi, R.P.A
Physician Assistant in Albany, NY. Individual provider (NPI-1).
NPI number1073545166
StatusActive
Last updated in NPPESJul 18, 2012
Details
- NPI
- 1073545166
- Entity type
- Individual (NPI-1)
- Name
- Deborah Lyn Randaisi
- Credential
- R.P.A
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Jul 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 009073-1 | NY | Yes |
Practice location
1375 Washington AveSuite 101
Albany, NY 12206-1056
Phone 518-438-4483 · Fax 518-482-4201
Mailing address
1375 Washington AveSuite 101
Albany, NY 12206-1056
Phone 518-438-4483 · Fax 518-482-4201
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