Provider Demographics
NPI:1295968972
Name:RANDALL, JANET S (MD)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:S
Last Name:RANDALL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6052 VIA VENETIA N
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6403
Mailing Address - Country:US
Mailing Address - Phone:800-477-8092
Mailing Address - Fax:561-526-2524
Practice Address - Street 1:16 MIDDLE NECK RD STE 262
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2357
Practice Address - Country:US
Practice Address - Phone:800-477-8092
Practice Address - Fax:561-526-2524
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2020-11-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY60-1171292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry