Provider Demographics
NPI:1871632414
Name:ADELMAN, RANDI (NP)
Entity Type:Individual
Prefix:MS
First Name:RANDI
Middle Name:
Last Name:ADELMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1090 AMSTERDAM AVE FL 17
Mailing Address - Street 2:ST. LUKE'S HOSPITAL - CHILD AND FAMILY INSTITUTE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1737
Mailing Address - Country:US
Mailing Address - Phone:212-523-9488
Mailing Address - Fax:
Practice Address - Street 1:1090 AMSTERDAM AVE FL 17
Practice Address - Street 2:ST. LUKE'S HOSPITAL - CHILD AND FAMILY INSTITUTE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-1737
Practice Address - Country:US
Practice Address - Phone:212-523-9488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY516513-1163W00000X
NYF400874-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse