Individual
NATALIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22510 88TH AVE, QUEENS VILLAGE, NY 11427-2615
(917) 741-6141
Mailing address
22510 88TH AVE, QUEENS VILLAGE, NY 11427-2615
(917) 741-6141
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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