Individual
ERICKA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
7419 65TH ST, GLENDALE, NY 11385-6950
(718) 670-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405952-01
NY
Other
Enumeration date
07/23/2024
Last updated
06/17/2025
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