# JOSE I RODRIGUEZ-OSPINA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649570995
- **Authorized official:** MR. JOSE IGNACIO RODRIGUEZ-OSPINA M.D. (PRESIDENT/M.D.)
- **Authorized official phone:** (718) 205-4900

## Contact information

- **Practice address:** 9319 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7943
- **Practice address phone:** (718) 205-4900
- **Practice address fax:** (718) 205-4909
- **Mailing address:** 9319 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7943
- **Mailing address phone:** (718) 205-4900
- **Mailing address fax:** (718) 205-4909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2010
- **Last updated:** 12/23/2010