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Organization

STEPHEN RAND MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VANDANA MAKAVANA (PRACTICE MANAGER)
(631) 475-3900
Entity
Organization

Contact information

Practice address
1 E ROE BLVD, PATCHOGUE, NY 11772-2631
(631) 475-3900
(631) 475-5166
Mailing address
1 E ROE BLVD, PATCHOGUE, NY 11772-2631
(631) 475-3900
(631) 475-5166

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary

Other

Enumeration date
07/30/2007
Last updated
06/17/2008
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