Individual
DAISY DENISE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 MAIN ST STE 302, PORT JEFFERSON, NY 11777-2227
(516) 921-0808
Mailing address
PO BOX 685, OYSTER BAY, NY 11771-0685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005076
NY
Other
Enumeration date
12/28/2017
Last updated
10/24/2023
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