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GAY PERCOLIZA GATDULA RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5194
(212) 746-7868
Mailing address
12 KENWOOD RD, HAWTHORNE, NJ 07506-2206
(201) 887-2197

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307137
NY

Other

Enumeration date
11/04/2014
Last updated
11/06/2014
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