Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Randazzo

Individual provider Developmental Therapist · NPI 1063134740

Kelly Randazzo is a Developmental Therapist in Staten Island, New York. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

28 Petersons Ln
Staten Island, NY 10309-2805
Phone: (347) 372-0345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1063134740
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 19, 2022
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022
Mailing address28 Petersons Ln, Staten Island, NY 10309-2805

Other providers in Staten Island