Individual
MRS. MARIA ELENA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
136 CROCUS AVE, FLORAL PARK, NY 11001-2537
(516) 849-7481
Mailing address
136 CROCUS AVE, FLORAL PARK, NY 11001-2537
(516) 849-7581
(516) 538-2708
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
092336
NY
104100000X
Social Worker
092336
NY
171M00000X
Case Manager/Care Coordinator
092336
NY
Other
Enumeration date
08/07/2014
Last updated
01/06/2015
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