Individual
ANA MARIA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 THORNE ST, PATCHOGUE, NY 11772-2837
(631) 560-8956
Mailing address
57 THORNE ST, PATCHOGUE, NY 11772-2837
(631) 560-8956
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324199-1
NY
Other
Enumeration date
08/17/2019
Last updated
08/17/2019
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