Individual provider · Type 1 NPI

Jenora Randolph, P.A.

Physician Assistant · New York, NY

NPI number 1962642769 Active

Practice location

506 Malcolm X Blvd
New York, NY 10037-1802

Call (212) 939-1000 Map

Mailing address

136 Irving Ave
Wyandanch, NY 11798-3515

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X012883 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1962642769

Jenora Randolph, P.A.'s National Provider Identifier is 1962642769, issued on Mar 6, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Mar 6, 2009.