Randall, Julie C

Randall, Julie C is an individual health care provider with primary practice located at 6319 Fly Rd Suite 3, East Syracuse NY 13057-9357. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Randall, Julie C can be contacted via phone (315) 410-6200.

Contact Information

Primary practice address
6319 Fly Rd Suite 3 East Syracuse NY 13057-9357
Phone: (315) 410-6200
Fax: (315) 451-2095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 020542-1 New York

Profile Details

NPI number 1629006473
LBN Legal business name Randall, Julie C
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Apr 18th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629006473 NPPES
New York Other 161303109 CIGNA
New York Other 000131712 CIGNA
New York Other 000921584005 CIGNA

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