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NPI Code Detail

MEDICARE: STEPHANIE RODRIGUEZ

MEDICARE: STEPHANIE 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
1163WS0200XSchool Registered Nurse754168NY

General Provider Information

NPI Number : 1033948807
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE RODRIGUEZ
Provider Business Mailing Address
First Line : 37 TILLOTSON PL
Second Line :
City : BUFFALO
State : NY
Zip : 14223-2828
Country : US
Telephone Number : 845-300-9141
Fax Number :
Provider Business Practice Location Address
First Line : 326 WENDE HALL
Second Line :
City : BUFFALO
State : NY
Zip : 14214-8013
Country : US
Telephone Number : 716-829-2537
Fax Number : 716-829-2067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2024
Last Update Date : 07/30/2024

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Directions to “ STEPHANIE RODRIGUEZ ” Practice Location

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