# DRD MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205045853
- **Authorized official:** DR. DAVID RANDALL DYNOF M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (917) 207-8490

## Contact information

- **Practice address:** 271 MADISON AVE, SUITE 1601, NEW YORK, NY 10016-1001
- **Practice address phone:** (212) 682-2750
- **Practice address fax:** (212) 682-6588
- **Mailing address:** 400 E 70TH ST, APT 1103, NEW YORK, NY 10021-5387
- **Mailing address phone:** (917) 207-8490
- **Mailing address fax:** (212) 737-0085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 225074-1 | NY | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 08/22/2020