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Individual

DANIELLE MARIE RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6511 SPRING BROOK AVE, RHINEBECK, NY 12572-3709
(845) 876-3001
Mailing address
6511 SPRING BROOK AVE, RHINEBECK, NY 12572-3709

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
023468
NY
363A00000X
Physician Assistant
Primary
023468
NY

Other

Enumeration date
08/24/2017
Last updated
08/15/2023
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