Healthcare Provider Details

I. General information

NPI: 1205763083
Provider Name (Legal Business Name): CHELSEA RODRIQUEZ FAMILY HEALTH NP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 MERRITTS RD
FARMINGDALE NY
11735-3254
US

IV. Provider business mailing address

1080 OLD COUNTRY RD # 1147
WESTBURY NY
11590-5625
US

V. Phone/Fax

Practice location:
  • Phone: 516-927-7757
  • Fax:
Mailing address:
  • Phone: 917-742-8129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA RODRIQUEZ
Title or Position: MANAGING MEMBER
Credential: FNP
Phone: 917-742-8129