Individual
STEPHANIE RANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
226 E 25TH ST, APT 2C, NEW YORK, NY 10010-3150
(954) 242-9123
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018073
NY
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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