Individual
DR. EVAN M RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6511 SPRINGBROOK AVE, RHINEBECK, NY 12572
(845) 867-3001
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(866) 507-5244
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
267963
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03627410
—
NY
Enumeration date
05/22/2009
Last updated
05/12/2014
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