Individual
KIRBY W RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1470 MADISON AVE FL 3, NEW YORK, NY 10029-6542
(212) 241-6756
Mailing address
3712 PARK AVE APT 1, WEEHAWKEN, NJ 07086-6033
(201) 694-7520
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311290
NY
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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