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Individual

DR. EMMANUEL N RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
165 E 83RD ST, 4D, NEW YORK, NY 10028-2403
(646) 416-0744
Mailing address
325 E 64TH ST APT 309, NEW YORK, NY 10065-6770
(347) 573-1019

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
250792
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34529800
WI
Enumeration date
09/26/2006
Last updated
03/28/2023
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