Individual
DR. FERNANDO O. RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
564 W 189 ST., APT. 1, NEW YORK, NY 10040
(212) 795-2992
(212) 795-2992
Mailing address
564 W 189 ST., APT. 1, NEW YORK, NY 10040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
115372
NY
208000000X
Pediatrics Physician
Primary
115372
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00212675
—
NY
Enumeration date
11/20/2006
Last updated
10/22/2008
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