MEDICARE: LILIAN RODRIGUEZ

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
1	235Z00000X	Speech-Language Pathologist	034374	NY

General Provider Information

NPI Number	:	1477485209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILIAN RODRIGUEZ

Provider Business Mailing Address
First Line	:	35 STARR ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-2705
Country	:	US
Telephone Number	:	718-418-6389
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 STARR ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-2705
Country	:	US
Telephone Number	:	718-418-6389
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/14/2026

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Directions to “ LILIAN RODRIGUEZ ” Practice Location

Language	Start Address	Practice Location

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