Individual
ROBERTO H RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
2976 NORTHERN BLVD FL 2, LONG ISLAND CITY, NY 11101-2829
(347) 510-3624
Mailing address
2976 NORTHERN BLVD FL 2, LONG ISLAND CITY, NY 11101-2829
(347) 510-3624
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30332
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02740141
—
NY
Enumeration date
07/22/2014
Last updated
07/22/2014
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