Organization
RRG MEDICAL PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL RODRIGUEZ MD (PHYSICIAN)
(718) 505-0030
Entity
Organization
Contact information
Practice address
3736 90TH ST FL 1, JACKSON HEIGHTS, NY 11372-7830
(718) 505-0030
(718) 505-0032
Mailing address
9001A ROOSEVELT AVE, 2ND FLOOR, JACKSON HEIGHTS, NY 11372-7938
(718) 505-0030
(718) 505-0032
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02461109
—
NY
Enumeration date
01/21/2011
Last updated
09/24/2019
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