Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID RANDALL DYNOF, MD
Active Sole ProprietorDAVID RANDALL DYNOF, MD is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in SHIRLEY, New York. NPI 1912908989 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · SHIRLEY, NY
Registration Details
- NPI Number
- 1912908989
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2005 (21.078044128676 yrs)
- Last Updated
- Feb 21, 2018
- License
-
225074-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 CORACI BLVDSTE 1SHIRLEY, NY, 119674833Browse NY providers · Browse ZIP 11967
- Phone
- 2126822750
- Fax
- 2126826588
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
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.