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Daisy Denise Rodriguez
Mental Health Counselor in Port Jefferson, New York
NPI 1922514926

Daisy Denise Rodriguez is a Mental Health Counselor based in Oyster Bay, NY and is specialized in Mental Health. Daisy Denise Rodriguez practices in Port Jefferson, NY. The NPI Number for Daisy Denise Rodriguez is 1922514926 and holds a License No. 005076 (New York).

The current practice location address for Daisy Denise Rodriguez is 1227 Main St Ste 302, Port Jefferson, NY and can be reached out via phone at 516-921-0808.

Location: 1227 Main St Ste 302, Port Jefferson, NY, 11771-0685
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922514926
Provider Name
Daisy Denise Rodriguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
1227 Main St Ste 302, Port Jefferson, NY, 11771-0685
Phone Number
516-921-0808
Fax Number
Provider Enumeration Date
12/28/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1227 Main St Ste 302
City
Port Jefferson
State
New York
Zip
11777-2227
Phone Number
516-921-0808
Fax Number
person
Provider Business Mailing Address Details
Address
1227 Main St Ste 302
City
Port Jefferson
State
New York
Zip
11777-2227
Phone Number
516-921-0808
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
005076 (New York)
Definition
Definition to come...
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