Individual
MR. RANDOLPH EDWARD YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
1500 PELHAM PKWY S, BRONX, NY 10461-1100
(718) 597-3400
(718) 597-6917
Mailing address
2075 ST. RAYMONDS AVENUE, BRONX, NY 10462
(718) 409-0268
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
468489-1
NY
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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