Provider Demographics
NPI:1558318261
Name:ZERNER, RANDEE LYNNE (OTR CHT CLT)
Entity Type:Individual
Prefix:MRS
First Name:RANDEE
Middle Name:LYNNE
Last Name:ZERNER
Suffix:
Gender:F
Credentials:OTR CHT CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 TOWN LINE RD
Mailing Address - Street 2:
Mailing Address - City:E NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-4732
Mailing Address - Country:US
Mailing Address - Phone:631-339-1777
Mailing Address - Fax:631-368-1953
Practice Address - Street 1:340 VETERANS MEMORIAL HWY STE 1
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-4300
Practice Address - Country:US
Practice Address - Phone:516-732-0081
Practice Address - Fax:631-326-0984
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006038225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQT8661OtherBCBS
NYP3481537OtherOXFORD
NYQT8661OtherBCBS
NYP3481537OtherOXFORD