Individual
YANA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
506 6TH AVE, BROOKLYN, NY 11215-4905
(917) 379-0062
Mailing address
506 6TH STREET, BROOKLYN, NY 11215
(917) 379-0062
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015299
NY
Other
Enumeration date
11/07/2011
Last updated
01/18/2019
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