Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | 201787 | NY |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 201787 | NY |
NPI | 1134305311 |
---|---|
Provider Name | Randolph Rosarion |
First Address | College Point, NY 11356-1617 |
Second Address | College Point, NY 11356-1617 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2008 |
Last Update Date | 24/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01215142 | AMERIGROUP (01) | NY |
01902914 | (05) | NY |
11303 | MAGNACARE (01) | NY |
1307J2 | EMPIRE BC/BS PPO (01) | NY |
1444783 | FIRST HEATH/COVENTRY (01) | NY |
1865684 | UNITED HEALTHCARE (01) | NY |
201787 | METROPLUS (01) | NY |
20178701 | NEIGHBORHOOD (01) | NY |
201787-NY | 1199 (01) | NY |
4C1004 | HEALTHNET (01) | NY |
5158655 | AETNA (01) | NY |
9764439 | CIGNA (01) | NY |
G75447 | (02) | |
G75447 | (02) | NY |
P3652400 | OXFORD FREEDOM (01) | NY |
RR118757 | GHI PPO (01) | NY |
RR1787 | ATLANTIS (01) | NY |