Individual
RANDOLPH ROSARION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12010 15TH AVE, RM. 6, COLLEGE POINT, NY 11356-1617
(718) 701-5949
(718) 701-5949
Mailing address
12010 15TH AVE, RM. 6, COLLEGE POINT, NY 11356-1617
(718) 701-5949
(718) 701-5949
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
201787
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
201787
NY
208VP0000X
Pain Medicine Physician
201787
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01215142
AMERIGROUP
NY
05
—
01902914
—
NY
01
—
11303
MAGNACARE
NY
01
—
1307J2
EMPIRE BC/BS PPO
NY
01
—
1444783
FIRST HEATH/COVENTRY
NY
01
—
1865684
UNITED HEALTHCARE
NY
01
—
201787
METROPLUS
NY
01
—
201787-NY
1199
NY
01
—
20178701
NEIGHBORHOOD
NY
01
—
4C1004
HEALTHNET
NY
01
—
5158655
AETNA
NY
01
—
9764439
CIGNA
NY
01
—
P3652400
OXFORD FREEDOM
NY
01
—
RR118757
GHI PPO
NY
01
—
RR1787
ATLANTIS
NY
Enumeration date
01/17/2008
Last updated
01/27/2023
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