Most Relevant Information
Provider Data
| NPI Number: | 1003212911 |
| Provider Name: | CHRISTOPHER RODZIEWICZ |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: | 006488 |
Most Important Dates
| Enumeration Date: | 11/05/2014 |
| Last Updated: | 11/05/2014 |
Provider Practice Location
4290 MIDDLE SETTLEMENT RD
NEW HARTFORD
NY
134135314
Practice Location Phone/Fax
| Phone: | 3157349586 |
| Fax: |
Provider Mailing Location
12400 HIGH BLUFF DRIVE
SANDIEGO
CA
92130
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |