Individual
RANDALL P OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 E 98TH ST, # 1259, MOUNT SINAI MEDICAL CENTER--FACULTY PRACTICE ASSOCIATES, NEW YORK, NY 10029-6574
(212) 241-1657
(212) 202-4703
Mailing address
530 E 84TH ST, APT 2-S, NEW YORK, NY 10028-7319
(212) 241-1657
(212) 202-4703
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
202892
NY
Other
Enumeration date
10/19/2006
Last updated
01/07/2010
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