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Individual

DAVID ERIC RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CASAC

Contact information

Practice address
5676 RIVERDALE AVE, BRONX, NY 10471-2138
(718) 796-5300
(718) 548-1161
Mailing address
5676 RIVERDALE AVE, BRONX, NY 10471-2138
(718) 796-5300
(718) 548-1161

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29223
NY

Other

Enumeration date
03/11/2016
Last updated
03/11/2016
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