Individual
MR. JOSE IGNACIO RODRIGUEZ-OSPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 MAPLE AVE, BAY SHORE, NY 11706-8722
(631) 665-4392
Mailing address
8 MAPLE AVE, BAY SHORE, NY 11706-8722
(631) 665-4392
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
177471
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01181382
—
NY
Enumeration date
12/11/2006
Last updated
03/24/2016
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