Individual
NICOLE D RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 JERICHO TPKE, SYOSSET, NY 11791-4436
(516) 393-5966
Mailing address
1439 EAST AVE APT 5E, BRONX, NY 10462-7529
(917) 325-9402
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
1233800181
NY
174H00000X
Health Educator
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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