Individual
ELBA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
348 13TH ST, BROOKLYN, NY 11215-5004
(718) 788-2461
(718) 788-8274
Mailing address
169 TEN EYCK ST, BROOKLYN, NY 11206-1473
(718) 599-5920
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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