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
Phone: (845) 783-6266
Fax: (845) 783-9570
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760925689 | NPPES |
| New York | MEDICAID | 04687192 |
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