Individual
MS. RANDY LEE PARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
145 W MONTAUK HWY, HAMPTON BAYS, NY 11946-4012
(631) 728-4700
Mailing address
52 EVERGREEN AVE, EAST MORICHES, NY 11940-1538
(631) 878-4263
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
4437-1
NY
261QP2300X
Primary Care Clinic/Center
4437-1
NY
363A00000X
Physician Assistant
4437-1
NY
Other
Enumeration date
01/07/2010
Last updated
10/27/2023
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