Individual
MR. GUILLERMO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 E 92ND ST, NEW YORK, NY 10128-1620
(347) 316-3478
Mailing address
116 E 92ND ST, NEW YORK, NY 10128-1620
(347) 316-3478
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
280004
NY
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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