Terrance, Peter Randolph

Terrance, Peter Randolph is an individual health care provider with primary practice located at 31 6Th St , Malone NY 12953-1246. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Terrance, Peter Randolph can be contacted via phone (315) 296-8344.

Contact Information

Primary practice address
31 6Th St Malone NY 12953-1246
Phone: (315) 296-8344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1235776634
LBN Legal business name Terrance, Peter Randolph
Credentials Bachelor of Social Work (BSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2019
Last updated Dec 4th, 2019 - about 6 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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