Individual
KENDY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(347) 228-4113
Mailing address
31 WILLIAM ST, MALVERNE, NY 11565-2008
(347) 228-4113
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309961
NY
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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