National Provider Identifier

Dominique Liana Angeline Rodriguez

Dominique Liana Angeline Rodriguez is listed in the NPPES registry with a primary specialty of Social Worker in Orchard Park, NY and a listed phone number of (716) 662-2040.

NPI 1356081582Orchard Park, NYSocial Worker

Profile Overview

NPI
1356081582
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
March 29, 2022
Last Updated
August 02, 2022

Practice Location

  • 227 Thorn Ave
  • Orchard Park, NY 14127-2600

Phone: (716) 662-2040

Mailing Address

  • 768 Delaware Ave
  • Buffalo, NY 14209-2006

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1356081582
Entity Type
Individual
Last Name
Rodriguez
First Name
Dominique
Middle Name
Liana Angeline
Mailing Street Address
768 Delaware Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14209-2006
Mailing Country
US
Mailing Phone
(716) 566-1288
Mailing Fax
(833) 790-5378
Practice Street Address
227 Thorn Ave
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2600
Practice Country
US
Practice Phone
(716) 662-2040
Practice Fax
(716) 662-0019
Enumeration Date
March 29, 2022
Last Updated
August 02, 2022
Sex
Female
Sole Proprietor
No
Certification Date
August 02, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)