Individual provider · Type 1 NPI

Tina Rodriguez, MS, PA-C

Medical Physician Assistant · Mineola, NY

NPI number 1205383387 Active

Practice location

259 1st St
Mineola, NY 11501-3957

Mailing address

15711 14th Ave
Whitestone, NY 11357-2709

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X020064-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1205383387

Tina Rodriguez, MS, PA-C's National Provider Identifier is 1205383387, issued on Sep 6, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mineola, NY. The record was last updated on Sep 12, 2022.