Individual
MRS. LADY DAYANA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSPED
Contact information
Practice address
100 N PARK AVE, ROCKVILLE CENTRE, NY 11570-4157
(516) 678-0707
(516) 678-5990
Mailing address
576 MADISON AVE, NORTH BALDWIN, NY 11510-1333
(917) 517-0169
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
584153111
NY
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33628
—
NY
Enumeration date
09/17/2013
Last updated
05/22/2020
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