Individual
DR. EDDY GABRIEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1159 BLAKE AVE, BROOKLYN, NY 11208-3721
(718) 277-0771
(718) 277-0772
Mailing address
1159 BLAKE AVE, BROOKLYN, NY 11208-3721
(718) 277-0771
(718) 277-0772
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
121766
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00228799
—
NY
Enumeration date
12/14/2006
Last updated
07/08/2007
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