Individual
MR. ROBERTO RODRIGUEZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
STONYBROOK HOSPITAL HSC LEVEL 18 RM 0-40, STONY BROOK, NY 11794-0001
(631) 444-1045
(631) 444-6176
Mailing address
STONYBROOK HOSPITAL HSC LEVEL 18 RM 0-40, STONY BROOK, NY 11794-0001
(631) 444-1045
(631) 444-6176
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F332366
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02591179
—
NY
Enumeration date
07/18/2006
Last updated
06/26/2008
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