Most Relevant Information
Provider Data
| NPI Number: | 1003691981 |
| Provider Name: | ALYSSA RODRIGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 12180 |
Most Important Dates
| Enumeration Date: | 08/29/2023 |
| Last Updated: | 08/29/2023 |
Provider Practice Location
2452 STATE ROUTE 9 STE 206
MALTA
NY
120204448
Practice Location Phone/Fax
| Phone: | 5182925433 |
| Fax: |
Provider Mailing Location
2452 STATE ROUTE 9 STE 206
MALTA
NY
120204448
Provider Mailing Phone/Fax
| Phone: | 5182925433 |
| Fax: |