Individual
RANDI ROTHBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 EAST 210TH ST, GERIATRICS DIVISION, BRONX, NY 10467
(718) 920-6234
Mailing address
111 EAST 210TH ST, GERIATRICS DIVISION, BRONX, NY 10467
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
288459
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2012
Last updated
04/16/2018
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