Individual
RAFAEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
300 N MIDDLETOWN RD STE 2, PEARL RIVER, NY 10965-1295
(845) 362-8400
(845) 362-8474
Mailing address
300 N MIDDLETOWN RD STE 2, PEARL RIVER, NY 10965-1295
(845) 362-8400
(845) 362-8474
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026164-01
NY
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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