Individual provider · Type 1 NPI

Julissa Rodriguez, NP

Adult Health Nurse Practitioner · New York, NY

NPI number 1740805563 Active

Practice location

220 E 42nd St Fl 7
New York, NY 10017-5806

Mailing address

6014 Fresh Pond Rd Apt 2
Maspeth, NY 11378-3454

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X309593 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1740805563

Julissa Rodriguez, NP's National Provider Identifier is 1740805563, issued on Jun 8, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Jun 8, 2020.