Individual
AMY MARIA RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7140 112TH ST, 611, FOREST HILLS, NY 11375-4658
(646) 256-9108
Mailing address
71-40 112TH STREET, 611, FOREST HILL, NY 11375
(646) 256-9108
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
067887
NY
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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