Individual
DR. DAVID A RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3512 QUENTIN RD STE 110, BROOKLYN, NY 11234-4245
(800) 275-3243
Mailing address
28 FOREST LN, BREWSTER, NY 10509-3014
(845) 278-6591
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021988
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355940
—
NY
01
—
1285628552
AGENCY NPI
NY
Enumeration date
12/15/2006
Last updated
11/16/2021
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