Randolph, Cathy

Randolph, Cathy is an individual health care provider with primary practice located at 100 Granny Rd , Farmingville NY 11738-2879. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Randolph, Cathy can be contacted via phone (631) 696-4357.

Contact Information

Primary practice address
100 Granny Rd Farmingville NY 11738-2879
Phone: (631) 696-4357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 554743-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 403021 New York

Profile Details

NPI number 1720244833
LBN Legal business name Randolph, Cathy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Jan 7th, 2024 - about 2 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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