Rodriguez, Michael Philip

Rodriguez, Michael Philip is an individual health care provider with primary practice located at 410 Hallock Ave , Port Jefferson Station NY 11776-1232. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Rodriguez, Michael Philip can be contacted via phone (631) 642-1190.

Contact Information

Primary practice address
410 Hallock Ave Port Jefferson Station NY 11776-1232
Phone: (631) 642-1190
Fax: (631) 642-1190
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 229069 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 229069 New York

Profile Details

NPI number 1316915523
LBN Legal business name Rodriguez, Michael Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 6th, 2010 - about 14 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.

Request for update

Popular Providers