Individual
MRS. LISA MARIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 RICHMOND AVE, SUNNY DAYS 2ND FL, STATEN ISLAND, NY 10314-1520
(718) 556-1616
Mailing address
1535 RICHMOND AVE, SUNNY DAYS 2ND FL, STATEN ISLAND, NY 10314-1520
(718) 556-1616
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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