Individual
AMANDA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2164 BARNES AVE, APT 232, BRONX, NY 10462-1961
(347) 231-7471
Mailing address
2164 BARNES AVE, APT 232, BRONX, NY 10462-1961
(347) 231-7471
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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