Individual
MRS. BERTHA L. RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
60 MADISON AVE, NEW YORK, NY 10010-1600
(917) 763-4631
Mailing address
60 MADISON AVE, NEW YORK, NY 10010-1600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
858547
NY
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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