Individual
MRS. DEIRDRE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
172 DRAKE AVE, STATEN ISLAND, NY 10314-3012
(718) 873-3607
Mailing address
172 DRAKE AVE, STATEN ISLAND, NY 10314-3012
(718) 873-3607
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1311542
NY
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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