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Organization
WOODSIDE MEDICAL PRACTICE, P.C.
Active
Organization
WOODSIDE MEDICAL PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL N/A RODRIGUEZ MD (PRESIDENT)
(718) 505-0030
Entity
Organization
Contact information
Practice address
65 06 ROOSEVELT AVENUE, WOODSIDE, NY 11377-2928
(718) 374-6222
(718) 374-6213
Mailing address
65 06 ROOSEVELT AVENUE, WOODSIDE, NY 11377-2928
(718) 374-6222
(718) 374-6213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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