Individual
ANNY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 ACADEMY ST # E5, NEW YORK, NY 10034-5058
(646) 597-0123
Mailing address
610 ACADEMY ST # E5, NEW YORK, NY 10034-5058
(646) 597-0123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1723092231
NY
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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