Individual
IDELKA GRISSELLE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 SKYLINE DR, HAWTHORNE, NY 10532-2134
(914) 828-0435
(914) 745-0899
Mailing address
19 SKYLINE DR, HAWTHORNE, NY 10532-2134
(914) 828-0435
(914) 745-0899
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
277621
NY
Other
Enumeration date
10/03/2014
Last updated
10/14/2025
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