Individual
ALEXANDRIA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 COLUMBIA ST APT 3, BROOKLYN, NY 11231-1423
(917) 586-5699
Mailing address
195 COLUMBIA ST APT 3, BROOKLYN, NY 11231-1423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
893740
NY
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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