Provider Demographics
NPI:1538328562
Name:LONGMAN, RANDY SCOTT (MD / PHD)
Entity Type:Individual
Prefix:DR
First Name:RANDY
Middle Name:SCOTT
Last Name:LONGMAN
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Gender:M
Credentials:MD / PHD
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Mailing Address - Street 1:1315 YORK AVE
Mailing Address - Street 2:MEZZANINE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5304
Mailing Address - Country:US
Mailing Address - Phone:212-746-5077
Mailing Address - Fax:212-746-8144
Practice Address - Street 1:1315 YORK AVE
Practice Address - Street 2:MEZZANINE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5304
Practice Address - Country:US
Practice Address - Phone:212-746-5077
Practice Address - Fax:212-746-8144
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2013-09-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY251543207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology