Rodriguez, Lyly E
Rodriguez, Lyly E is an individual health care provider with primary practice located at 400 Columbus Ave , New Haven CT 06519-1233. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Rodriguez, Lyly E can be contacted via phone (203) 503-3250.Contact Information
Primary practice address
400 Columbus Ave
New Haven CT 06519-1233
Phone: (203) 503-3250
Fax: (203) 503-3254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10362 | Connecticut |
Profile Details
| NPI number | 1255590170 |
|---|---|
| LBN Legal business name | Rodriguez, Lyly E |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2008 |
| Last updated | Jan 25th, 2012 - about 12 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 | 1255590170 | NPPES |
| Connecticut | MEDICAID | 004235893 |
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