Individual
CHANTTAL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
227 MADISON ST RM 3061, NEW YORK, NY 10002-7537
(212) 238-7403
Mailing address
227 MADISON ST RM 3061, NEW YORK, NY 10002-7537
(212) 238-7403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
352576
NY
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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