Individual
DR. RANDOLPH PATRICK SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PHARM.D.
Contact information
Practice address
600 ROE AVENUE, SUITE 1A, ELMIRA, NY 14905-1629
(607) 737-4130
(607) 737-4530
Mailing address
571 SAINT JOSEPHS BLVD, FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 271-2099
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
198637
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
25MA06186400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02150434
—
NY
05
—
8142505
—
NJ
Enumeration date
10/31/2006
Last updated
11/30/2020
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