Individual
ANGEL LUIS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
685 WHITE PLAINS ROAD, EASTCHESTER, NY 10709
(914) 787-4100
(914) 787-4199
Mailing address
685 WHITE PLAINS ROAD, EASTCHESTER, NY 10709
(914) 787-4100
(914) 787-4199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
203049
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01771122
—
NY
01
—
78628
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
12/02/2006
Last updated
12/13/2022
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