Individual
LORENZO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A., CASAC
Contact information
Practice address
2 WILLIAM AVE, EAST ISLIP, NY 11730-2330
(631) 224-7700
(631) 224-7600
Mailing address
2 WILLIAM AVE, EAST ISLIP, NY 11730-2330
(631) 224-7700
(631) 224-7600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
125651
NY
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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