Individual
MRS. CANDEE MELGAR RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 CAMPUS RD, STATEN ISLAND, NY 10301-4479
(347) 596-3986
Mailing address
1 CAMPUS RD, STATEN ISLAND, NY 10301-4479
(347) 596-3986
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
336841
NY
390200000X
Student in an Organized Health Care Education/Training Program
336841
NY
Other
Enumeration date
02/13/2013
Last updated
04/06/2023
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