Individual
STEPHEN HALL RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1226 E WATER ST, SYRACUSE, NY 13210-1155
(315) 478-3468
(315) 214-2840
Mailing address
1226 E WATER ST, SYRACUSE, NY 13210-1155
(315) 478-4185
(315) 478-0840
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
169344-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01262477
—
NY
Enumeration date
06/30/2006
Last updated
01/29/2013
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