Rodriguez Ii, Roberto

Rodriguez Ii, Roberto is an individual health care provider with primary practice located at Stonybrook Hospital Hsc Level 18 Rm 0-40 , Stony Brook NY 11794-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Rodriguez Ii, Roberto can be contacted via phone (631) 444-1045.

Contact Information

Primary practice address
Stonybrook Hospital Hsc Level 18 Rm 0-40 Stony Brook NY 11794-0001
Phone: (631) 444-1045
Fax: (631) 444-6176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F332366 New York

Profile Details

NPI number 1235158577
LBN Legal business name Rodriguez Ii, Roberto
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jun 26th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235158577 NPPES
New York MEDICAID 02591179

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