Individual
CASEY RANDLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 PENN PLZ FL 8, NEW YORK, NY 10119-0899
(866) 234-8913
Mailing address
40 CAMPBELL LN, EAST ISLIP, NY 11730-3621
(631) 357-6398
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
F311881-01
NY
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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