Individual
ANNY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68 GARDEN ST APT 3A, BROOKLYN, NY 11206-4580
(347) 885-3581
Mailing address
68 GARDEN ST APT 3A, BROOKLYN, NY 11206-4580
(347) 885-3581
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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