National Provider Identifier
Ivan Rodriguez
Ivan Rodriguez is listed in the NPPES registry with a primary specialty of Pharmacy Technician in Corning, NY and a listed phone number of (607) 937-5374.
Profile Overview
- NPI
- 1336717024
- Provider Type
- Individual
- Primary Specialty
- Pharmacy Technician
- Enumeration Date
- June 17, 2021
- Last Updated
- June 17, 2021
Practice Location
- 375 Pulteney St
- Corning, NY 14830-2124
Phone: (607) 937-5374
Specialties
- Pharmacy Technician (183700000X)
Full Record
- NPI
- 1336717024
- Entity Type
- Individual
- Last Name
- Rodriguez
- First Name
- Ivan
- Mailing Street Address
- 375 Pulteney St
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830-2124
- Mailing Country
- US
- Mailing Phone
- (607) 937-5374
- Practice Street Address
- 375 Pulteney St
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-2124
- Practice Country
- US
- Practice Phone
- (607) 937-5374
- Enumeration Date
- June 17, 2021
- Last Updated
- June 17, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 17, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacy Technician (183700000X)