Individual
PHILIP RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-5000
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37483
NY
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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