Individual
EDWIN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D, M.D.
Contact information
Practice address
1051 RIVERSIDE DR STE 1300, NEW YORK, NY 10032-1007
(646) 774-6329
Mailing address
1051 RIVERSIDE DR STE 1300, NEW YORK, NY 10032-1007
(646) 774-6329
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
297268
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/10/2017
Last updated
08/04/2020
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