Individual
MS. LORRAINE DENISE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TSHH
Contact information
Practice address
840 PALISADE AVE, 5J, YONKERS, NY 10703-1541
(917) 975-2170
Mailing address
840 PALISADE AVE, 5J, YONKERS, NY 10703-1541
(917) 975-2170
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
521206041
NY
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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