Individual
LILLY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2922 30TH AVE, ASTORIA, NY 11102-2565
(718) 545-2500
(718) 777-1369
Mailing address
2922 30TH AVE, ASTORIA, NY 11102-2565
(718) 545-2500
(718) 777-1369
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
185686
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01392983
—
NY
01
—
185686
NY LIC
NY
Enumeration date
05/20/2006
Last updated
03/07/2023
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