Individual
MR. DANIEL RODRIGUEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
464 MANOR RD, STATEN ISLAND, NY 10314-2956
(718) 442-6690
Mailing address
7700 AMBOY RD, STATEN ISLAND, NY 10307-1434
(718) 208-0683
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027821
NY
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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