Provider Demographics
NPI:1972737021
Name:RODRIGUEZ, ANN CATHERINE (NP)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:CATHERINE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:32 BROOK FARM RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10506-1310
Mailing Address - Country:US
Mailing Address - Phone:914-450-6021
Mailing Address - Fax:845-728-0667
Practice Address - Street 1:1076 MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-3607
Practice Address - Country:US
Practice Address - Phone:914-450-6021
Practice Address - Fax:845-728-0667
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF400552-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health