Individual
DR. CHRISTOPHER STEPHENS RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
164 W 74TH ST, NEW YORK, NY 10023-2301
(718) 726-8484
Mailing address
1 ALAMEDA PL, MOUNT VERNON, NY 10552-1201
(914) 513-6350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
189107
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03158303
—
NY
Enumeration date
12/13/2006
Last updated
01/02/2014
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