Individual
DR. LARISSA V. RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E 68TH ST # 94, NEW YORK, NY 10065-4870
(646) 962-7170
Mailing address
525 E 68TH ST # 94, NEW YORK, NY 10065-4870
(646) 962-7170
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
315776
NY
208800000X
Urology Physician
A54911
CA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
315776
NY
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
A54911
CA
Other
Enumeration date
07/19/2006
Last updated
07/06/2023
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