Brooke Randall
Early Intervention Provider Agency in Staten Island, New York
1891315677- Practice location
- 1110 South Ave, Staten Island, NY 10314-3403
- Phone
- 866-707-8669
- Fax
- —
- Last updated
- April 21, 2020
Brooke Randall is an Early Intervention Provider Agency based in Staten Island, NY. Brooke Randall practices in Staten Island, NY. The NPI Number for Brooke Randall is 1891315677. The current practice location address for Brooke Randall is 1110 South Ave, Staten Island, NY 10314-3403 and can be reached out via phone at 866-707-8669.
Provider Profile Details
- NPI Number
- 1891315677
- Provider Name
- Brooke Randall
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1110 South Ave, Staten Island, NY 10314-3403
- Phone Number
- 866-707-8669
- Primary Taxonomy
- Early Intervention Provider Agency · 252Y00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 21, 2020
- Last Update Date
- April 21, 2020
- Certification Date
- April 21, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1110 South Ave
Staten Island, NY 10314-3403 - City
- Staten Island
- State
- New York
- Zip
- 10314-3403
- Phone Number
- 866-707-8669
Provider Business Mailing Address Details
- Address
- 48 Ashley Ln
Staten Island, NY 10309-4315 - City
- Staten Island
- State
- NY
- Zip
- 10309-4315
- Phone Number
- 518-429-1515
License Information
- Taxonomy
- Early Intervention Provider Agency · 252Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Brooke Randall?
The NPI number of Brooke Randall is 1891315677. It was assigned on April 21, 2020 and is currently active in the NPPES registry.
What is the specialty of Brooke Randall?
Brooke Randall is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X).
Where does Brooke Randall practice?
The practice location is 1110 South Ave, Staten Island, NY 10314-3403. The office can be reached at 866-707-8669 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891315677 directly on the NPPES registry website.