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Individual

DEIDRA ANN RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 901-6901
(718) 577-5820
Mailing address
1650 GRAND CONCOURSE, BRONX, NY 10457-4101
(201) 274-6156

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002672
NY

Other

Enumeration date
08/28/2016
Last updated
11/09/2017
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