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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDI RASBERRY, PA-C

Active Sole Proprietor

Physician Assistant · NESCONSET, NY

Registration Details

NPI Number
1215313903
Provider Type
Individual
Gender
Female
NPI Issued
Aug 4, 2015 (10.739877357701 yrs)
Last Updated
Nov 26, 2025
Licenses
PA.200846 (LA)
PA.200846 (LA)
1126818 (NY)
Sole Proprietor
Yes

Practice Information

Address
100 SOUTHERN BLVD
NESCONSET, NY, 117671797
Browse NY providers · Browse ZIP 11767
Phone
8722313162
Fax
7029771496
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in NESCONSET, NY

Name Credential NPI
RHONDA R EDWARDS-BRAITHWAITE PA 1184714206
MISS CINDY A CALLAHAN RPA-C 1013162510
FAIZA R SHAH PA 1922669886
PAIGE SUZANNE KARRAS PA-C 1003520784
MR. RUSSELL JOHN RIDULFO PA 1407697683
NEHA CHOWDHURY PA 1770475428
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.