Individual
RANDY MCLAURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
681 CLARKSON AVE, BROOKLYN, NY 11203-2125
(718) 221-7430
Mailing address
789 SAINT MARKS AVE, APT 22A, BROOKLYN, NY 11213-1453
(718) 221-6762
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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