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1205383387
TINA RODRIGUEZ
MINEOLA, NY
NPI
1205383387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 020064-1)
Enumeration Date
2016-09-06
Last Update Date
2022-09-12
Business Address
TINA RODRIGUEZ MS, PA-C
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 917-767-9679
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Mailing Address
TINA RODRIGUEZ MS, PA-C
15711 14TH AVE
WHITESTONE, NY 11357-2709
Phone number: 917-767-9679
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