Organization
RECOVER UNDERCOVER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY RANDOLPH NP (OWNER)
(631) 546-8849
Entity
Organization
Contact information
Practice address
1600 CALEBS PATH EXT STE 122, HAUPPAUGE, NY 11788-5224
(631) 994-1075
(631) 350-0293
Mailing address
1600 CALEBS PATH EXT STE 122, HAUPPAUGE, NY 11788-5224
(631) 994-1075
(631) 350-0293
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/11/2025
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