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1780123448
WILLIAM RODRIGUEZ
NEW YORK, NY
NPI
1780123448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: NY 31142)
Enumeration Date
2017-02-14
Last Update Date
2017-02-14
Business Address
-- WILLIAM RODRIGUEZ
121 W 111TH ST
NEW YORK, NY 10026-4207
Phone number: 212-678-4990
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Mailing Address
-- WILLIAM RODRIGUEZ
121 W 111TH ST
NEW YORK, NY 10026-4207
Phone number: 212-678-4990
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