Individual
JUANA F RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
112 FULTON AVE, B, HEMPSTEAD, NY 11550-3752
(516) 481-2020
(516) 620-9064
Mailing address
112 FULTON AVE, B, HEMPSTEAD, NY 11550-3752
(516) 481-2020
(516) 620-9064
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008554-1
NY
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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