Individual
CARLOS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 WILLOUGHBY ST 10, BROOKLYN, NY 11201-5465
(718) 783-7001
(718) 783-7091
Mailing address
PO BOX 26003, BROOKLYN, NY 11202-6003
(718) 614-9297
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
212389
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02292340
—
NY
Enumeration date
03/30/2006
Last updated
07/28/2015
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