Rodriguez, Lilly

Rodriguez, Lilly is an individual health care provider with primary practice located at 2922 30Th Ave , Astoria NY 11102-2565. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rodriguez, Lilly can be contacted via phone (718) 545-2500.

Contact Information

Primary practice address
2922 30Th Ave Astoria NY 11102-2565
Phone: (718) 545-2500
Fax: (718) 777-1369
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 185686 New York

Profile Details

NPI number 1073567335
LBN Legal business name Rodriguez, Lilly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 7th, 2023 - about 3 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 1073567335 NPPES
New York MEDICAID 01392983
New York Other 185686

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