Woodside Medical Practice, P.c.

NPI #1114244712 in Woodside, New York

Provider Information

NPI Number: 1114244712
Entity Type: Organization
Organization Name: Woodside Medical Practice, P.c.
Primary Specialty: Internal Medicine
Enumeration Date: Apr 23, 2010
Last Updated: Apr 23, 2010

Practice Location

Address: 65 06 ROOSEVELT AVENUE
City: Woodside
State: New York
ZIP Code: 11377-2928
Phone: (718) 374-6222

Authorized Official

Name: DR. RAFAEL N/A RODRIGUEZ, MD
Title: PRESIDENT
Phone: (718) 505-0030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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