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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENORA RANDOLPH, P.A.

Active

JENORA RANDOLPH, P.A. is a Physician Assistant healthcare provider located in NEW YORK, New York. NPI 1962642769 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · NEW YORK, NY

Registration Details

NPI Number
1962642769
Provider Type
Individual
Gender
Female
NPI Issued
Mar 6, 2009 (17.427466025015 yrs)
Last Updated
Mar 6, 2009
License
012883 (NY)

Practice Information

Address
506 MALCOLM X BLVD
NEW YORK, NY, 100371802
Browse NY providers · Browse ZIP 10037
Phone
2129391000
Primary Specialty
Physician Assistant
363A00000X

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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.