Individual
MS. VICTORIA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
92 S CLINTON AVE APT 6F, BAY SHORE, NY 11706-8670
(787) 602-9140
Mailing address
92 S CLINTON AVE APT 6F, BAY SHORE, NY 11706-8670
(787) 602-9140
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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