Rodriguez, Jeannette
Rodriguez, Jeannette is an sole proprietor health care provider with primary practice located at 8923 210Th St , Queens Village NY 11427-2226. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Rodriguez, Jeannette can be contacted via phone (646) 305-6687.Contact Information
Primary practice address
8923 210Th St
Queens Village NY 11427-2226
Phone: (646) 305-6687
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 50338 | New York |
Profile Details
| NPI number | 1508128612 |
|---|---|
| LBN Legal business name | Rodriguez, Jeannette |
| Credentials | MSED-BE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2012 |
| Last updated | Jun 13th, 2012 - about 13 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 | 1508128612 | NPPES |
| New York | MEDICAID | 17 |
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