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Individual

MR. ERIC RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, FNP-C

Contact information

Practice address
739 IRVING AVE, SUITE 200, SYRACUSE, NY 13210-1651
(315) 479-5070
(315) 701-2525
Mailing address
1001 W FAYETTE ST, SUITE 400, SYRACUSE, NY 13204-2859
(315) 479-5070
(315) 701-2525

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
591686
NY
363LF0000X
Family Nurse Practitioner
337429
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
337429
NY

Other

Enumeration date
06/19/2012
Last updated
02/21/2019
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