Individual
DAVID RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
120 HOBART ST, UTICA, NY 13501-4308
(315) 798-1149
(315) 734-3572
Mailing address
111 HOSPITAL DR, UTICA, NY 13502-2517
(315) 801-8534
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
328876
NY
390200000X
Student in an Organized Health Care Education/Training Program
328876
NY
Other
Enumeration date
05/27/2022
Last updated
08/13/2025
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