Individual
MR. EZEQUIEL JOSUE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
1111 AMSTERDAM AVE, ORTHO DEPT. CLARK 7, NEW YORK, NY 10025-1716
(212) 523-2650
Mailing address
200 WINSTON DR, APT. B15, CLIFFSIDE PARK, NJ 07010-3235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011475-1
NY
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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