Individual
JOELLE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
36 RONALD REAGAN BLVD., WARWICK, NY 10990
(845) 986-5367
Mailing address
36 RONALD REAGAN BLVD., WARWICK, NY 10990
(845) 986-5367
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007611
NY
Other
Enumeration date
07/23/2010
Last updated
08/26/2010
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