Individual
ELVA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
545 E 142ND ST, BRONX, NY 10454-2110
(718) 579-1719
Mailing address
545 E 142ND ST, BRONX, NY 10454-2110
(718) 579-1719
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F360257-1
NY
Other
Enumeration date
11/29/2006
Last updated
07/14/2007
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