Basic Information
| Provider Information | |||||||||
| NPI: | 1720324452 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RODRIGUEZ | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | MAY | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M/S, OTR/L, CLT - UE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 485 MADISON AVE | ||||||||
| Address2: | 8TH FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100225803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2129802963 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 485 MADISON AVE | ||||||||
| Address2: | 8TH FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100225803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2129802963 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2012 | ||||||||
| LastUpdateDate: | 05/06/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 014927 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.