| Theodore Randolph,dpm | |
|
3 Medical Dr, Suite C, Port Jefferson Station, NY 11776-1597 | |
| (631) 928-7785 | |
| (631) 928-0316 |
| Full Name | Theodore Randolph,dpm |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 3 Medical Dr, Port Jefferson Station, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720264252 | NPI | - | NPPES |
| 791048 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 003646 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Randolph,dpm 3 Medical Dr, Suite C, Port Jefferson Station, NY 11776-1597 Ph: (631) 928-7785 | Theodore Randolph,dpm 3 Medical Dr, Suite C, Port Jefferson Station, NY 11776-1597 Ph: (631) 928-7785 |
Duan Zhang, Podiatrist Medicare: Medicare Enrolled Practice Location: 1 Medical Dr Ste B, Port Jefferson Station, NY 11776 Phone: 631-928-8383 | |
Family Foot Care Of Long Island, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 1 Medical Dr Ste B, Port Jefferson Station, NY 11776 Phone: 631-928-8383 Fax: 631-928-8388 | |
Dr. Sean Lynch, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Dr Ste B, Port Jefferson Station, NY 11776 Phone: 631-928-8383 Fax: 631-928-8388 | |
Dr. Warren L Kent, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 136 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-1815 | |
Dr. Stuart Plotkin, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Dr, Ste C, Port Jefferson Station, NY 11776 Phone: 631-928-8383 Fax: 631-928-8388 | |
Dr. Meenakshi Singhal, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Dr Ste B, Port Jefferson Station, NY 11776 Phone: 631-928-8383 Fax: 631-928-8388 | |
Warren L. Kent D.p.m. P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 136 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-1815 Fax: 631-928-2945 |