Individual
KATIE SOBEY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 562-6199
Mailing address
26 OHIO AVE APT 2, LONG BEACH, NY 11561-1114
(516) 761-4692
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F308779-1
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
308779
NY
Other
Enumeration date
07/26/2018
Last updated
07/15/2025
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