Individual
MS. CHASITY ANGELITA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1419 SHAKESPEARE AVE, BRONX, NY 10452-1851
(171) 873-2708
Mailing address
1420 NOBLE AVE, APT 3O, BRONX, NY 10472-1418
(804) 938-3632
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7211008A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141397918
—
NY
Enumeration date
11/17/2015
Last updated
11/17/2015
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