Organization
ELMHURST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA RODRIGUEZ MD (PHYSICIAN)
(347) 598-9099
Entity
Organization
Contact information
Practice address
183 BEACH 97TH ST FL 2, ROCKAWAY BEACH, NY 11693-1323
(347) 598-9099
Mailing address
183 BEACH 97TH ST, ROCKAWAY BEACH, NY 11693-1323
(347) 598-9099
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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