MEDICARE: O'CONNELL & RODRIGUEZ FAMILY DENTAL PLLC

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1184339202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	O'CONNELL & RODRIGUEZ FAMILY DENTAL PLLC

Provider Business Mailing Address
First Line	:	254 S MAIN ST STE 208
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-3363
Country	:	US
Telephone Number	:	845-638-0900
Fax Number	:

Provider Business Practice Location Address
First Line	:	254 S MAIN ST STE 208
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-3363
Country	:	US
Telephone Number	:	845-638-0900
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RAQUEL RODRIGUEZ
Credential	:	DMD
Telephone Number	:	845-638-0900

Provider Enumeration Date	:	01/23/2023
Last Update Date	:	01/23/2023

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1295808483 — HAND THERAPY OF ROCKLAND,OT LLP
Practice Location Address:

254 S MAIN STREET , SUITE 400
NEW CITY, NY
10956-3363

Practice Phone: 845-638-2728
Practice Fax: 845-638-1830

1316294002 — MS. MARISSA CATHERINE TINOCO M.A. CCC SLP TSS
Practice Location Address:

254 S MAIN ST STE 400
NEW CITY, NY
10956-3363

Practice Phone: 845-638-1592
Practice Fax:

1184049348 — MISS JENNA BEIM M.S. CFY-SLP
Practice Location Address:

254 S MAIN ST STE 400
NEW CITY, NY
10956-3363

Practice Phone: 845-638-1592
Practice Fax:

1104322684 — TERILEE WREN
Practice Location Address:

254 S MAIN ST STE 400
NEW CITY, NY
10956-3363

Practice Phone: 845-638-1592
Practice Fax: 845-638-1830

1245875954 — JAZMIN RACHEL RAMIREZ OTR/L
Practice Location Address:

254 S MAIN ST STE 310
NEW CITY, NY
10956-3363

Practice Phone: 845-638-3072
Practice Fax: 845-638-3073

Directions to “O'CONNELL & RODRIGUEZ FAMILY DENTAL PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.