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NPI Code Detail

MEDICARE: DR. MICHAEL PHILIP RODRIGUEZ MD

MEDICARE: DR. MICHAEL PHILIP RODRIGUEZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician229069NY
2208000000XPediatrics Physician229069NY

General Provider Information

NPI Number : 1316915523
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL PHILIP RODRIGUEZ MD
Provider Business Mailing Address
First Line : 15 WOODBURY RD
Second Line :
City : HAUPPAUGE
State : NY
Zip : 11788-4729
Country : US
Telephone Number : 317-933-5576
Fax Number :
Provider Business Practice Location Address
First Line : 35 LONGWOOD RD
Second Line :
City : MIDDLE ISLAND
State : NY
Zip : 11953-2045
Country : US
Telephone Number : 631-924-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 04/24/2025

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