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1922150515
RANDALL ROSS
NEW YORK, NY
NPI
1922150515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: NY 170811)
Enumeration Date
2007-01-17
Last Update Date
2007-07-09
Business Address
-- RANDALL ROSS M.D.
15 W 12TH ST SUITE 1F
NEW YORK, NY 10011-8546
Phone number: 212-352-3354
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Mailing Address
-- RANDALL ROSS M.D.
19 STONEYSIDE DR
LARCHMONT, NY 10538-1417
Phone number:
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