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NPI Code Detail

MEDICARE: GERALDINE RAND P.A.

MEDICARE: GERALDINE RAND P.A.
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
1363AM0700XMedical Physician Assistant002290-1NY

General Provider Information

NPI Number : 1336518513
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALDINE RAND P.A.
Provider Business Mailing Address
First Line : 11 FRANKLIN PL
Second Line :
City : WOODMERE
State : NY
Zip : 11598-1216
Country : US
Telephone Number : 516-569-0776
Fax Number :
Provider Business Practice Location Address
First Line : 11 FRANKLIN PL
Second Line :
City : WOODMERE
State : NY
Zip : 11598-1216
Country : US
Telephone Number : 516-569-0776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2015
Last Update Date : 09/17/2015

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Directions to “ GERALDINE RAND P.A.” Practice Location

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