Individual
LIDYS MELISSA RODRIGUEZ MONTERROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7491
(212) 423-6229
Mailing address
14825 89TH AVE APT 2O, JAMAICA, NY 11435-3567
(347) 437-9379
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
333166
NY
208000000X
Pediatrics Physician
333166
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10686
—
NY
Enumeration date
07/22/2019
Last updated
03/13/2025
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