| Randy A Dexter | |
|
233 7th St Ste 200 Garden City NY 11530-5747 | |
| (516) 210-6626 | |
| Not Available |
| Full Name | Randy A Dexter |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 233 7th St Ste 200, Garden City, New York |
| Authorized Official Name and Position | Randy Dexter (PROVIDER/OWNER) |
| Authorized Official Contact | 5162106626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy A Dexter 353 1st St Mineola NY 11501-3734 Ph: (516) 210-6626 | Randy A Dexter 233 7th St Ste 200 Garden City NY 11530-5747 Ph: (516) 210-6626 |
| NPI Number | 1376207035 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 10/27/2021 |
| Certification Date | 10/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376207035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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