Organization
DRD MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RANDALL DYNOF M.D. (MEDICAL DIRECTOR)
(917) 207-8490
Entity
Organization
Contact information
Practice address
271 MADISON AVE, SUITE 1601, NEW YORK, NY 10016-1001
(212) 682-2750
(212) 682-6588
Mailing address
400 E 70TH ST, APT 1103, NEW YORK, NY 10021-5387
(917) 207-8490
(212) 737-0085
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
225074-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WORKER COMPENSATION
225074-4W
NY
Enumeration date
05/21/2007
Last updated
08/22/2020
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