Search › New York › 363A00000X
Shantae Rodriguez, PA
NPI 1902055650 · on the registry since 2008
Practice
- Address
- Stony Brook Medicine Em
100 Nicolls Road, Hsc, Level 4, Room 080
Stony Brook, NY 11794 - Phone
- (631) 444-2478
- Fax
- (631) 444-3919
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 207P00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York