Individual
MISS JOKATHLEEN CASTRO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2901 216TH STREET, BAYSIDE, NY 11360-2810
(718) 281-8809
Mailing address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 281-8809
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381601-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568652014
—
NY
Enumeration date
07/31/2007
Last updated
09/10/2008
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