Most Relevant Information
Provider Data
| NPI Number: | 1003236654 |
| Provider Name: | LUZ RODRIGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 223367 |
Most Important Dates
| Enumeration Date: | 04/22/2014 |
| Last Updated: | 04/22/2014 |
Provider Practice Location
1146 NUGENT AVE
BAY SHORE
NY
117061341
Practice Location Phone/Fax
| Phone: | 5163431913 |
| Fax: |
Provider Mailing Location
1146 NUGENT AVE
BAY SHORE
NY
117061341
Provider Mailing Phone/Fax
| Phone: | 5163431913 |
| Fax: |