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Individual

LUIS RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 343-0616
(845) 343-0617
Mailing address
185 RYKOWSKI LN, SUITE 101, MIDDLETOWN, NY 10941-4019
(845) 692-0030
(845) 692-0037

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
06233100
NJ
2085R0202X
Diagnostic Radiology Physician
182564
NY
2085R0204X
Vascular & Interventional Radiology Physician
182564
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03283709
NY
Enumeration date
06/06/2006
Last updated
07/22/2021
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