Penalosa, Rodrigo
Penalosa, Rodrigo is an individual health care provider with primary practice located at 10 Cranberry Dr , Hopewell Junction NY 12533-5367. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Penalosa, Rodrigo can be contacted via phone (845) 231-5600.Contact Information
Primary practice address
10 Cranberry Dr
Hopewell Junction NY 12533-5367
Phone: (845) 231-5600
Fax: (845) 231-5638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 196580 | New York |
Profile Details
| NPI number | 1003814757 |
|---|---|
| LBN Legal business name | Penalosa, Rodrigo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Nov 18th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003814757 | NPPES |
| New York | MEDICAID | 01504750 |
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