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Individual

DR. LUIS FRANCISCO RODRIGUEZ-BETANCOURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
42 GRISWOLD ST, WALTON, NY 13856-1338
(607) 865-6867
(607) 865-5446
Mailing address
2 TITUS PL, WALTON, NY 13856-1455
(607) 865-2400

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1790641
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01498806
NY
Enumeration date
11/23/2005
Last updated
01/18/2016
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