Individual
MS. LAUREN SUSANNA ZEIDNER-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NYCPS-P
Contact information
Practice address
1056 W JERICHO TPKE, SMITHTOWN, NY 11787-3212
(631) 656-9550
Mailing address
445 OAK ST, COPIAGUE, NY 11726-3111
(631) 257-5173
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P-4980
NY
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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