Individual
GREGG RANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
62 GRAND CENTRAL TERMINAL, NEW YORK, NY 10017-5622
(212) 599-1220
(212) 687-5414
Mailing address
62 GRAND CENTRAL TERMINAL, NEW YORK, NY 10017-5622
(212) 599-1220
(212) 687-5414
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6918-1
NY
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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