Individual
MR. GETULIO M. RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
457 BROADWAY STE 17, MONTICELLO, NY 12701-1765
(845) 622-3329
(845) 861-7892
Mailing address
1182 CHENANGO ST, BINGHAMTON, NY 13901-1653
(607) 727-6904
(607) 723-4123
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
127191-01
NY
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02997780
—
NY
Enumeration date
07/12/2019
Last updated
03/26/2026
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