Provider Demographics
NPI:1225712946
Name:RODRIGUEZ, BENIGNO JR (MASTER SOCIAL WORKER)
Entity Type:Individual
Prefix:MR
First Name:BENIGNO
Middle Name:
Last Name:RODRIGUEZ
Suffix:JR
Gender:M
Credentials:MASTER SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 W 60TH ST FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7905
Mailing Address - Country:US
Mailing Address - Phone:718-520-8000
Mailing Address - Fax:
Practice Address - Street 1:33 W 60TH ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7905
Practice Address - Country:US
Practice Address - Phone:917-640-1088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker