Dezzerey Rodriguez
Early Intervention Provider Agency in Rochester, NY. Individual provider (NPI-1).
NPI number1982194155
StatusActive
Last updated in NPPESMay 14, 2018
Details
- NPI
- 1982194155
- Entity type
- Individual (NPI-1)
- Name
- Dezzerey Rodriguez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 14, 2018
- Last updated
- May 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
55 Troup StRochester, NY 14608-2053
Phone 585-546-7220
Mailing address
55 Troup StRochester, NY 14608-2053
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