Individual
ANDREA M RODOLICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2707 HYLAN BLVD, STATEN ISLAND, NY 10306-4657
(347) 707-2441
Mailing address
140 RENO AVE, STATEN ISLAND, NY 10306-4234
(347) 707-2441
(917) 782-0802
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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