Randolph Mannix Dilorenzo
Hospitalist in Staten Island, NY. Individual provider (NPI-1).
NPI number1669934113
StatusActive
Last updated in NPPESMar 9, 2023
Details
- NPI
- 1669934113
- Entity type
- Individual (NPI-1)
- Name
- Randolph Mannix Dilorenzo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2019
- Certification date
- Mar 9, 2023
- Last updated
- Mar 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 317757 | NY | Yes |
Practice location
475 Seaview AveStaten Island, NY 10305-3436
Phone 718-226-8313
Mailing address
475 Seaview AveStaten Island, NY 10305-3436
Phone 718-226-8313
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