Ivan Rodriguez M.D.

NPI 1063488682 - Internal Medicine - 207R00000X

NPI Details
NPI 1063488682
Gender Male
Enumeration Date 02/24/2006
Last Updated 09/08/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
2094 PITKIN AVE
BROOKLYN NY, 11207-3509, US
Phone (718) 240-0420
Fax
Business Location
24 CLOVE BRANCH RD
HOPEWELL JCT NY, 12533-5216, US
Phone (845) 223-8387
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 199099
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According to our database, Ivan Rodriguez M.D. NPI is 1063488682, taxonomy code is 207R00000X and license number is 199099, license state is located at New York. Ivan Rodriguez M.D. physically located at 2094 Pitkin Ave, Brooklyn NY, 11207-3509. NPI Number Ivan Rodriguez M.D. has the Individual type.

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1063488682 NPI number is provided on an as is basis without warranty of any kind. 1063488682 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Rodriguez M.D. are for informational purposes only.