Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 0204741 | NY |
N | 1041C0700X | Clinical Social Worker | 73 080818 | NY |
NPI | 1215238779 |
---|---|
Provider Name | Dr. James Albert Rodriguez |
First Address | Cortlandt Manor, NY 10567-1709 |
Second Address | Cortlandt Manor, NY 10567-1709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2010 |
Last Update Date | 03/09/2015 |