Individual
DAVID ANTHONY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1094 OLD COUNTRY RD, RIVERHEAD, NY 11901-2020
(631) 655-0290
Mailing address
6 AMARR DR, SHIRLEY, NY 11967-3602
(631) 512-5928
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009857
NY
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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