Individual
MRS. DIANE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PHLEBOTOMIS
Contact information
Practice address
290 MOUNTAUK HWY., UNIT #286, MORICHES, NY 11955
(631) 800-6441
(631) 503-7826
Mailing address
290 MOUNTAUK HWY., UNIT #286, MORICHES, NY 11955
(631) 800-6441
(631) 503-7826
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
—
—
246RP1900X
Phlebotomy Technician
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
374700000X
Technician
81F992
NY
374U00000X
Home Health Aide
—
NY
Other
Enumeration date
05/16/2019
Last updated
10/01/2025
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