Individual
KAYLA CHRISTINE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
169 E 91ST ST APT LLD, NEW YORK, NY 10128-2411
(914) 552-4614
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F432250-01
NY
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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