Individual
MRS. AZALESHA ABRAHIM RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. PA-C
Contact information
Practice address
1855 RICHMOND AVE, STATEN ISLAND, NY 10314-3940
(718) 697-2212
Mailing address
1855 RICHMOND AVE, STATEN ISLAND, NY 10314-3940
(718) 697-2212
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00232600
NY
Other
Enumeration date
05/13/2010
Last updated
03/27/2017
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