Rodriguez, Wendy Dawn

Rodriguez, Wendy Dawn is an individual health care provider with primary practice located at 1200 State Route 208 Suite 13, Monroe NY 10950-4648. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rodriguez, Wendy Dawn can be contacted via phone (845) 783-6266.

Contact Information

Primary practice address
1200 State Route 208 Suite 13 Monroe NY 10950-4648
Fax: (845) 783-9570
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F3411181 New York

Profile Details

NPI number 1760925689
LBN Legal business name Rodriguez, Wendy Dawn
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2016
Last updated Apr 20th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760925689 NPPES
New York MEDICAID 04687192

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