DEWITT RANDOLPH SCOTT

SUFFERN, NY
NPI1528217767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  000779)
Enumeration Date2008-09-11
Last Update Date2008-09-11
Business Address
Mr. DEWITT RANDOLPH SCOTT RPA
5A ETHAN ALLEN DR
SUFFERN, NY 10901-1802
Phone number: 845-548-6567
Mailing Address
Mr. DEWITT RANDOLPH SCOTT RPA
8931 161ST ST
JAMAICA, NY 11432-6102
Phone number: 845-548-6567