Individual
MR. DEREK GLOVER RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 FORDHAM HILL OVAL, APT #14A & H, BRONX, NY 10468-4835
(718) 733-3636
Mailing address
7 FORDHAM HILL OVAL, APT #14A & H, BRONX, NY 10468-4835
(718) 733-3636
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
123965
NY
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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