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RANDALL S RISSMAN
404 ZENA RD WOODSTOCK NY 124982626
RANDALL S RISSMAN is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1376645911. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 7911949185. The primary specialty is FAMILY PRACTICE. The organization is HEALTH QUEST MEDICAL PRACTICE, PC. The address is 404 ZENA RD, , WOODSTOCK, NY, 124982626. The zip code is 124982626.
|Nation Provider ID||1376645911|
|PAC ID by PECOS||7911949185|
|Professional Enrollment ID||I20101101000940|
|Name||RANDALL S RISSMAN|
|Medical School Name||UNIVERSITY OF IOWA COLLEGE OF MEDICINE|
|Primary Specialty||FAMILY PRACTICE|
|All secondary specialties|
|Organization Name||HEALTH QUEST MEDICAL PRACTICE, PC|
|Group Practice PAC ID||1658468442|
|Number of Group Practice members||127|
|Address||404 ZENA RD, , WOODSTOCK, NY, 124982626|
|Hospital affiliation LBN||HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS|