Individual
ILLIANA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
369 E 148TH ST, BRONX, NY 10455-4041
(347) 791-2526
(347) 791-2526
Mailing address
759 SAINT ANNS AVE APT D, BRONX, NY 10456-7673
(347) 791-2526
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
S5N9N5B4
NY
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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