Individual
RANDALL JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1002 GOTHAM DR, ST JAMES, NY 11780-3359
(646) 584-6501
Mailing address
1002 GOTHAM DR, ST JAMES, NY 11780-3359
(646) 584-6501
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
152030
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01168758
—
NY
Enumeration date
06/28/2006
Last updated
01/19/2010
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