Individual
ALYSSA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2452 STATE ROUTE 9 STE 206, MALTA, NY 12020-4448
(518) 292-5433
Mailing address
2452 STATE ROUTE 9 STE 206, MALTA, NY 12020-4448
(518) 292-5433
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12180
NY
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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