Outlaw, Randolph

Outlaw, Randolph is an individual health care provider with primary practice located at 2857 W 8Th St , Brooklyn NY 11224-3604. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Outlaw, Randolph can be contacted via phone (718) 265-4200.

Contact Information

Primary practice address
2857 W 8Th St Brooklyn NY 11224-3604
Phone: (718) 265-4200
Fax: (718) 265-8536
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11554 New York

Profile Details

NPI number 1669522256
LBN Legal business name Outlaw, Randolph
Credentials CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 8th, 2007 - about 17 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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