Individual
MS. CARMEN B RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
61 ADAMS RD, APT. 2D, CENTRAL ISLIP, NY 11722-2223
(631) 630-6937
Mailing address
61 ADAMS RD., APT. 2D, CENTRAL ISLIP, NY 11722-2224
(631) 630-6937
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
175611-1
NY
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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