Marietta Rodriguez, MS Ed.
Specialist in Massapequa, NY. Individual provider (NPI-1).
NPI number1396008751
StatusActive
Last updated in NPPESJun 20, 2012
Details
- NPI
- 1396008751
- Entity type
- Individual (NPI-1)
- Name
- Marietta Rodriguez
- Credential
- MS Ed.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2012
- Last updated
- Jun 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
1 Devonshire RdMassapequa, NY 11758-6129
Phone 516-798-2198 · Fax 516-798-2198
Mailing address
1 Devonshire RdMassapequa, NY 11758-6129
Phone 516-798-2198 · Fax 516-798-2198
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