Provider Demographics
NPI:1801917828
Name:MEANS, RODNEY M (MA)
Entity type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:M
Last Name:MEANS
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:321 E 89TH ST
Mailing Address - Street 2:APT. 5-E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5051
Mailing Address - Country:US
Mailing Address - Phone:212-722-5286
Mailing Address - Fax:718-546-4983
Practice Address - Street 1:1515 HAZEN ST
Practice Address - Street 2:PHS, PC - RIKERS ISLAND
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11370-1395
Practice Address - Country:US
Practice Address - Phone:718-546-4781
Practice Address - Fax:718-546-4983
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001515101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health