| Audrey L Randolph, MD | |
|
19 Bradhurst Ave, Suite 2450n, Hawthorne, NY 10532 | |
| (914) 909-4168 | |
| (914) 909-4170 |
| Full Name | Audrey L Randolph |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 19 Bradhurst Ave, Hawthorne, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912989641 | NPI | - | NPPES |
| 097972 | Other | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 097972 (New York) | Primary |
| Entity Name | Westchester Medical Center Advanced Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042 |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey L Randolph, MD New York Medical College, Rehabilitation Medicine, Valhalla, NY 10595 Ph: (914) 909-4168 | Audrey L Randolph, MD 19 Bradhurst Ave, Suite 2450n, Hawthorne, NY 10532 Ph: (914) 909-4168 |
Anusha Lekshminarayanan, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 19 Bradhurst Ave Ste 3060n, Hawthorne, NY 10532 Phone: 914-909-4168 Fax: 914-909-4170 | |
Alexandra Ortiz, PTA LMT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 263 Commerce St, Hawthorne, NY 10532 Phone: 914-819-3977 | |
Dr. Xin Quan, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 19 Bradhurst Ave Ste 3040n, Hawthorne, NY 10532 Phone: 914-285-3480 Fax: 914-285-3479 |