Individual
MS. GABRIELLA ELIZABETH RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 5TH AVE, BAY SHORE, NY 11706-4147
(631) 665-1900
Mailing address
4 KANE CT, HUNTINGTON STATION, NY 11746-2259
(631) 949-4203
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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