Individual
CHRISTIAN BO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 COMMUNITY DRIVE, EMERGENCY MEDICINE- RESIDENT DIVISION, MANHASSET, NY 11030-3816
(929) 359-2653
Mailing address
300 COMMUNITY DRIVE, DEPARTMENT OF EM, ADMIN SUICE C, ATTN: ELNORA BREVARD, MANHASSET, NY 11030-3816
(929) 359-2653
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME160727
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
03/15/2023
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