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Individual
MELISSA RODZEN
Active
Individual
MELISSA RODZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022482
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022482
LICENSE
NY
Enumeration date
08/16/2018
Last updated
06/05/2023
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