Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 051954 | CT |
NPI | 1194165951 |
---|---|
Provider Name | Dr. Katherine Rodriguez |
First Address | New York, NY 10029 |
Second Address | Stamford, CT 06905-4603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2013 |
Last Update Date | 04/02/2014 |