Individual
RUDIANN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 GRAND BLVD STE 5, DEER PARK, NY 11729-5782
(631) 243-1765
(631) 243-3716
Mailing address
34 COUNTRY CLUB DR APT E, CORAM, NY 11727-3425
(631) 243-1765
(631) 243-3716
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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