Individual
RANDY TYMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10021
(212) 434-3420
Mailing address
400 E 71ST ST, APT. 7F, NEW YORK, NY 10021-4808
(212) 288-6179
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001029-1
NY
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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