Provider Demographics
NPI:1235374190
Name:HANDLER, RANDEE JOY
Entity Type:Individual
Prefix:MRS
First Name:RANDEE
Middle Name:JOY
Last Name:HANDLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19321 NERO AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-1153
Mailing Address - Country:US
Mailing Address - Phone:917-549-4101
Mailing Address - Fax:718-468-7642
Practice Address - Street 1:19321 NERO AVE
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-1153
Practice Address - Country:US
Practice Address - Phone:917-549-4101
Practice Address - Fax:718-468-7642
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-07
Last Update Date:2008-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009081-1171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor