Individual
GERALDINE JOHNSON-RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
875 CENTRAL AVE, ALBANY, NY 12206-1309
(518) 413-1960
Mailing address
3 DUTCH MEADOWS DR, COHOES, NY 12047-4946
(518) 779-8999
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
456177-1
NY
Other
Enumeration date
05/09/2026
Last updated
05/09/2026
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