Individual
MRS. ALYSE M RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
774 DAWSON ST, BRONX, NY 10455-1813
(718) 701-3712
Mailing address
774 DAWSON ST, BRONX, NY 10455-1813
(718) 701-3712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019874-1
NY
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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