Individual
JESSICA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
760 BROADWAY, WOODHULL MEDICAL CENTER DEPT. OF MEDICINE, BROOKLYN, NY 11206-5317
(718) 963-8000
Mailing address
2310 93RD ST, EAST ELMHURST, NY 11369-1125
(718) 839-5380
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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