Individual
DR. RANDOLPH TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
654 MADISON AVENUE, SUITE 1706, NEW YORK, NY 10065
(212) 257-9808
(212) 684-7721
Mailing address
2 SOUTH COURT, PORT WASHINGTON, NY 11050
(212) 684-7710
(212) 684-7721
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
033274
NY
Other
Enumeration date
06/15/2005
Last updated
11/03/2016
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