Individual
RODNEY PRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11417 178TH ST, JAMAICA, NY 11434-1407
(347) 886-5629
Mailing address
11417 178TH ST, JAMAICA, NY 11434-1407
(347) 886-5629
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
071526
NY
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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