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NPI Code Detail

MEDICARE: MR. JOHN CHRISTOPHER RODRIGUEZ LMSW

MEDICARE:  MR. JOHN CHRISTOPHER RODRIGUEZ  LMSW
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
1104100000XSocial Worker130605NY

General Provider Information

NPI Number : 1114877933
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN CHRISTOPHER RODRIGUEZ LMSW
Provider Business Mailing Address
First Line : 315 WALT WHITMAN RD STE 311
Second Line :
City : HUNTINGTON STATION
State : NY
Zip : 11746-4112
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 315 WALT WHITMAN RD STE 311
Second Line :
City : HUNTINGTON STATION
State : NY
Zip : 11746-4112
Country : US
Telephone Number : 516-508-3579
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2026
Last Update Date : 01/31/2026

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Directions to “ MR. JOHN CHRISTOPHER RODRIGUEZ LMSW” Practice Location

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