Individual
EVANGELINE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
(212) 717-3169
Mailing address
401 E 34TH ST, APT N20G, NEW YORK, NY 10016-4914
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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