Rodriguez, Lady Dayana

Rodriguez, Lady Dayana is an individual health care provider with primary practice located at 100 N Park Ave , Rockville Centre NY 11570-4157. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Rodriguez, Lady Dayana can be contacted via phone (516) 678-0707.

Contact Information

Primary practice address
100 N Park Ave Rockville Centre NY 11570-4157
Phone: (516) 678-0707
Fax: (516) 678-5990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X 584153111 New York

Profile Details

NPI number 1144656612
LBN Legal business name Rodriguez, Lady Dayana
Credentials MSSPED
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2013
Last updated May 22nd, 2020 - about 6 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 1144656612 NPPES
New York MEDICAID 33628

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