Nicholas Michael Randall

NPI #1366090540 in Orchard Park, New York

Provider Information

NPI Number: 1366090540
Entity Type: Individual
Name: Nicholas Michael Randall
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 30, 2019
Last Updated: Aug 30, 2019

Practice Location

Address: 3176 ABBOTT RD STE 500
City: Orchard Park
State: New York
ZIP Code: 14127-1069
Phone: (716) 822-2177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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