Individual
RAFAEL SAMUEL CARDONA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 BLOOMINGDALE RD FL 2, WHITE PLAINS, NY 10605-1513
(914) 949-3888
(914) 949-1271
Mailing address
660 WHITE PLAINS RD STE 400, TARRYTOWN, NY 10591-5107
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
25MA11788000
NJ
207Y00000X
Otolaryngology Physician
Primary
322215
NY
390200000X
Student in an Organized Health Care Education/Training Program
64001
—
Other
Enumeration date
03/22/2018
Last updated
07/31/2023
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