Individual
EDNA VIOLETA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3716 108TH ST, CORONA, NY 11368-2025
(718) 651-4000
(718) 476-2501
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
242231-1
NY
Other
Enumeration date
01/12/2007
Last updated
06/17/2011
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