Theodore Randolph, DPM
Theodore Randolph, DPM is a Foot & Ankle Surgery Podiatrist in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2008.
- Licensed in
- NY
- In the registry since
- 2008
Practice location Address checks out
3 Medical Dr Ste CPort Jefferson Station, NY 11776-1597
Phone: (631) 928-7785
Fax: (631) 928-0316
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Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence 003646 (NY) |
|---|
Record details
| NPI number | 1720264252 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theodore Randolph — Owner · (631) 928-7785 |
| NPI enumerated | January 15, 2008 |
| Last updated in NPPES | January 16, 2008 |
| Mailing address | 3 Medical Dr, Suite C, Port Jefferson Station, NY 11776-1597 |
Other providers in Port Jefferson Station
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Theodore John Randolph, DPM
3 Medical Dr Ste C, Port Jefferson Station, NY 11776-1597 · (631) 928-7785
-
Ronika Sethi, DPM
1 Medical Dr Ste B, Port Jefferson Station, NY 11776-1599 · (631) 928-8383
-
Dr. Meenakshi Singhal, DPM
1 Medical Dr Ste B, Port Jefferson Station, NY 11776-1599 · (631) 928-8383