Taylor-Randall, Udele V.
Taylor-Randall, Udele V. is an sole proprietor health care provider with primary practice located at 13176 Laurelton Pkwy , Rosedale NY 11422. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Taylor-Randall, Udele V. can be contacted via phone (718) 525-7125.Contact Information
Primary practice address
13176 Laurelton Pkwy
Rosedale NY 11422
Phone: (718) 525-7125
Fax: (718) 525-7126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 174510 | New York |
Profile Details
| NPI number | 1184653750 |
|---|---|
| LBN Legal business name | Taylor-Randall, Udele V. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184653750 | NPPES |
| New York | MEDICAID | 01194807 |
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