NPI 1194261156

Catherine Rodriguez

Practitioner Prevention Professional Shirley, NY

Practice location

Address: 35 Flintlock Dr, Shirley, NY 11967-2658
Phone: (646) 249-6913

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 1027306161 (NY)

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Registry record

NPI: 1194261156
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2017
Record last updated: 16 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.