Individual
JULISSA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2363 GRAND AVE APT 10A1, BALDWIN, NY 11510-3114
(516) 647-1924
Mailing address
2363 GRAND AVE APT 10A1, BALDWIN, NY 11510-3114
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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