Individual
DR. VANESSA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1440 MADISON AVE, NEW YORK, NY 10029-6508
(212) 659-8552
(212) 426-0349
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 987-3100
(212) 731-5210
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
274705
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
274705
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04494744
—
NY
Enumeration date
06/15/2011
Last updated
12/23/2016
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