institution
Theodore Randolph,dpm
Foot & Ankle Surgery Podiatrist in Port Jefferson Station, New York
NPI 1720264252

Theodore Randolph,dpm is a Foot & Ankle Surgery Podiatrist based in Port Jefferson Station, NY and is specialized in Foot & Ankle Surgery. Theodore Randolph,dpm practices in Port Jefferson Station, NY. The NPI Number for Theodore Randolph,dpm is 1720264252 and holds a License No. 003646 (New York).

The current practice location address for Theodore Randolph,dpm is 3 Medical Dr, Port Jefferson Station, NY and can be reached out via phone at 631-928-7785 and via fax at 631-928-0316.

Location: 3 Medical Dr, Port Jefferson Station, NY, 11776-1597
institution
Provider Profile Details
NPI Number
1720264252
Provider Name
Theodore Randolph,dpm
Credential
Provider Entity Type
Organization
Address
3 Medical Dr, Port Jefferson Station, NY, 11776-1597
Phone Number
631-928-7785
Fax Number
631-928-0316
Provider Enumeration Date
01/15/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
791048 05 NY
institution
Provider Business Practice Location Address Details
Address
3 Medical Dr
City
State
Zip
11776-1597
Phone Number
631-928-7785
Fax Number
631-928-0316
person
Provider Business Mailing Address Details
Address
3 Medical Dr
City
State
Zip
11776-1597
Phone Number
631-928-7785
Fax Number
631-928-0316
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
003646 (New York)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Port Jefferson Station, New York: