Individual provider · Type 1 NPI
Evelyn Rodriguez
Specialist · Queens, NY
NPI number
1619746104
Active
Practice location
61- 43 186th Street Fresh Meadows,
Queens, NY 11365
Mailing address
223 23rd St Apt 3L
Brooklyn, NY 11232-1346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 16791432 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1619746104
Evelyn Rodriguez's National Provider Identifier is 1619746104, issued on Dec 26, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Queens, NY. The record was last updated on Dec 26, 2023.