MEDICARE: MR. RANDY CURTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	1205646742	NY

General Provider Information

NPI Number	:	1205646742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RANDY CURTH

Provider Business Mailing Address
First Line	:	201 E GREEN ST
Second Line	:
City	:	ITHACA
State	:	NY
Zip	:	14850-5635
Country	:	US
Telephone Number	:	607-274-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 E GREEN ST
Second Line	:
City	:	ITHACA
State	:	NY
Zip	:	14850-5635
Country	:	US
Telephone Number	:	607-274-6200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2025
Last Update Date	:	06/15/2026

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Directions to “ MR. RANDY CURTH ” Practice Location

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