Individual
ANGELINA MERCEDES RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
608 W 189TH ST, APT. 42-D, NEW YORK, NY 10040-4207
(646) 750-4105
Mailing address
608 W 189TH ST, APT. 42-D, NEW YORK, NY 10040-4207
(646) 750-4105
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
692321
NY
Other
Enumeration date
03/04/2015
Last updated
03/05/2015
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