National Provider Identifier

Randy Lee Huntington Jr., PA-C

Randy Lee Huntington Jr., PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Elmira, NY and a listed phone number of (607) 733-6541.

NPI 1376837708Elmira, NYPhysician Assistant

Profile Overview

NPI
1376837708
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
June 02, 2011
Last Updated
June 02, 2011

Practice Location

  • 555 Saint Josephs Blvd
  • Elmira, NY 14901-3223

Phone: (607) 733-6541

Mailing Address

  • 454 W 2Nd St # 3
  • Elmira, NY 14901-2643

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1376837708
Entity Type
Individual
Last Name
Huntington
First Name
Randy
Middle Name
Lee
Name Suffix
Jr.
Credential
PA-C
Mailing Street Address
454 W 2Nd St # 3
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-2643
Mailing Country
US
Mailing Phone
(814) 771-0389
Practice Street Address
555 Saint Josephs Blvd
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-3223
Practice Country
US
Practice Phone
(607) 733-6541
Enumeration Date
June 02, 2011
Last Updated
June 02, 2011
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)