Individual
LIL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5000
Mailing address
234E 149ST, BRONX, NY 10451
(718) 579-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
275931
NY
Other
Enumeration date
01/18/2013
Last updated
07/21/2022
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