MEDICARE: DR. ANN MARIE RODE DO

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	207R00000X	Internal Medicine Physician	189133	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851502686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN MARIE RODE DO

Provider Business Mailing Address
First Line	:	1010 NORTHERN BLVD STE 328
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-5329
Country	:	US
Telephone Number	:	516-233-2484
Fax Number	:	516-304-5850

Provider Business Practice Location Address
First Line	:	225 NASSAU BLVD # B
Second Line	:
City	:	WEST HEMPSTEAD
State	:	NY
Zip	:	11552-2247
Country	:	US
Telephone Number	:	516-656-1919
Fax Number	:	833-968-3330

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

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	11/21/2024

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