Individual
DEANNA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 WATERS PL, BRONX, NY 10461-2720
(929) 226-1281
Mailing address
5 WINCHESTER AVE APT 2A, YONKERS, NY 10710-5829
(914) 623-2928
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F349500-01
NY
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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