Individual
MYRNA ELIZABETH RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2834 ROUTE 17M, NEW HAMPTON, NY 10958-5011
(845) 374-7000
Mailing address
2834 ROUTE 17M, NEW HAMPTON, NY 10958-5011
(845) 374-7000
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
893924-01
NY
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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