RANDY CLARENCE ANTHONY GRIMSHAW

POUGHKEEPSIE, NY
NPI1710467246
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  022495)
Enumeration Date2018-08-15
Last Update Date2018-08-15
Business Address
Mr. RANDY CLARENCE ANTHONY GRIMSHAW PA-C
159 BARNEGAT RD STE 101
POUGHKEEPSIE, NY 12601-5402
Phone number: 845-454-1942
Mailing Address
Mr. RANDY CLARENCE ANTHONY GRIMSHAW PA-C
98 MILLER RD APT 101
RHINEBECK, NY 12572-3559
Phone number: 518-534-4585
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