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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANTAE RODRIGUEZ, PA

Active

SHANTAE RODRIGUEZ, PA is a Physician Assistant healthcare provider located in STONY BROOK, New York. NPI 1902055650 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · STONY BROOK, NY

Registration Details

NPI Number
1902055650
Provider Type
Individual
Gender
Female
NPI Issued
Sep 17, 2008 (17.930291696176 yrs)
Last Updated
Mar 16, 2017
Licenses
012566 (NY)
012566 (NY)

Practice Information

Address
STONY BROOK MEDICINE EM
100 NICOLLS ROAD, HSC, LEVEL 4, ROOM 080
STONY BROOK, NY, 117948350
Browse NY providers · Browse ZIP 11794
Phone
6314442478
Fax
6314443919
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in STONY BROOK, NY

Name Credential NPI
MS. KAREN RENATE DYBUS RPA 1255334363
ROBERT K. ANSBACH R.P.A.-C 1326041260
ELEANOR S MILLER P.A. 1376519876
MRS. COLLEEN CALANDRA P.A. 1215990593
SUSHMA KAPUR PA 1609817949
MR. RICARDO ARANGUREN P.A. 1154357879
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.