Individual provider · Type 1 NPI

Stephanie Marie Rodriguez, MD

Student in an Organized Health Care Education/Training Program · East Meadow, NY

NPI number 1104766971 Active

Practice location

2201 Hempstead Tpke
East Meadow, NY 11554-1859

Call (516) 572-0123 Map

Mailing address

528 S 24th St
Philadelphia, PA 19146-1054

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104766971

Stephanie Marie Rodriguez, MD's National Provider Identifier is 1104766971, issued on Mar 31, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in East Meadow, NY. The record was last updated on Mar 31, 2026.