Individual
JULISSA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
220 E 42ND ST FL 7, NEW YORK, NY 10017-5806
(212) 609-1920
Mailing address
6014 FRESH POND RD APT 2, MASPETH, NY 11378-3454
(347) 891-8173
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309593
NY
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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