Individual
AMANDA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 E CATHERINE ST, NYACK, NY 10960-2522
(917) 721-3527
Mailing address
23 E CATHERINE ST, NYACK, NY 10960-2522
(917) 721-3527
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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