Provider Demographics
NPI:1588737688
Name:RODRIGUEZ AMADOR, ARLENE D (DDS MD)
Entity type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:D
Last Name:RODRIGUEZ AMADOR
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Gender:F
Credentials:DDS MD
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Mailing Address - Street 1:790 NEW YORK AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-4499
Mailing Address - Country:US
Mailing Address - Phone:631-427-7373
Mailing Address - Fax:631-673-6299
Practice Address - Street 1:790 NEW YORK AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-4499
Practice Address - Country:US
Practice Address - Phone:631-427-7373
Practice Address - Fax:631-673-6299
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2011-10-19
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Provider Licenses
StateLicense IDTaxonomies
NY04524911223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery