| Cathy Randolph, NP | |
|
100 Granny Rd, Farmingville, NY 11738-2879 | |
| (631) 696-4357 | |
| Not Available |
| Full Name | Cathy Randolph |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 100 Granny Rd, Farmingville, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720244833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 554743-1 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 403021 (New York) | Primary |
| Entity Name | Charles Evans Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972982007 PECOS PAC ID: 1759695992 Enrollment ID: O20160427000454 |
| Entity Name | Cs Medical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992210231 PECOS PAC ID: 9335401454 Enrollment ID: O20180329000208 |
| Mailing Address | Practice Location Address |
|---|---|
| Cathy Randolph, NP 44 Lakewood St, Wyandanch, NY 11798-3315 Ph: () - | Cathy Randolph, NP 100 Granny Rd, Farmingville, NY 11738-2879 Ph: (631) 696-4357 |
Ms. Margaret M Sheehan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Granny Rd, Farmingville, NY 11738 Phone: 631-696-4357 | |
Miss Marie Sonie Fils-aime, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400-h Horseblock Road, Suite H, Farmingville, NY 11788 Phone: 631-451-2211 | |
Monica Landry, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33 College Hills Dr, Farmingville, NY 11738 Phone: 631-559-1470 | |
Ingrid Gordon-patterson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Horseblock Rd, Ste H, Farmingville, NY 11738 Phone: 631-451-2211 Fax: 631-451-1463 | |
Michele L Brunner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Tower Hill Ave, Farmingville, NY 11738 Phone: 631-766-6831 | |
Mr. Michael Gerard Bernaudo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Horseblock Rd Ste H, Farmingville, NY 11738 Phone: 631-233-9490 | |
Jessica Romano, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Horseblock Rd Ste H, Farmingville, NY 11738 Phone: 631-233-9490 |