Provider Demographics
NPI:1447384763
Name:DANZIGER, RANDYE NEUBERGER (RPH)
Entity Type:Individual
Prefix:
First Name:RANDYE
Middle Name:NEUBERGER
Last Name:DANZIGER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 FAIRWAYS BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3168
Mailing Address - Country:US
Mailing Address - Phone:716-630-7770
Mailing Address - Fax:716-875-6311
Practice Address - Street 1:2309 MAPLE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-4038
Practice Address - Country:US
Practice Address - Phone:716-515-3205
Practice Address - Fax:716-515-3218
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034694183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist