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Individual

ROSA OMAYRA RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MCASAC

Contact information

Practice address
5 PINE ST, GLENS FALLS, NY 12801-3502
(518) 804-5875
Mailing address
524 SIMPSON PL, PEEKSKILL, NY 10566-4526
(347) 340-7565

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/14/2010
Last updated
07/23/2025
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