MEDICARE: DANIELLA MARIA RODRIGUEZ BA, MS

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	235Z00000X	Speech-Language Pathologist	035774	NY

General Provider Information

NPI Number	:	1386518009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLA MARIA RODRIGUEZ BA, MS

Provider Business Mailing Address
First Line	:	51 NORTH CT
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2110
Country	:	US
Telephone Number	:	516-726-0125
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 NORTH CT
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2110
Country	:	US
Telephone Number	:	516-726-0125
Fax Number	:

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

Provider Enumeration Date	:	10/04/2025
Last Update Date	:	10/04/2025

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