Individual
FIDEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3244 31ST ST, LONG ISLAND CITY, NY 11106-2561
(718) 956-1771
Mailing address
3244 31ST ST, LONG ISLAND CITY, NY 11106-2561
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
177431
NY
Other
Enumeration date
09/27/2006
Last updated
07/13/2010
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