Individual
RANDOLF CERRATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
82-84 BRIDGE ST, NEWBURGH, NY 12550
(703) 537-6486
Mailing address
82-84 BRIDGE ST, NEWBURGH, NY 12550
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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