Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEODORE JOHN RANDOLPH, D.P.M
Active Sole ProprietorTHEODORE JOHN RANDOLPH, D.P.M is a Foot & Ankle Surgery Podiatrist healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1831197318 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · PORT JEFFERSON STATION, NY
Registration Details
- NPI Number
- 1831197318
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2005 (20.918520994884 yrs)
- Last Updated
- Oct 20, 2011
- License
-
003646 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3 MEDICAL DRSUITE CPORT JEFFERSON STATION, NY, 117761597Browse NY providers · Browse ZIP 11776
- Phone
- 6319287785
- Fax
- 6319280316
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in PORT JEFFERSON STATION, NY
| Name | Credential | NPI |
|---|---|---|
| DR. MEENAKSHI SINGHAL | DPM | 1568886539 |
| RONIKA SETHI | DPM | 1396206538 |
| DUAN ZHANG | — | 1013571520 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.