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Rodrigo Stallard

NPI 1134006695 · on the registry since 2025

Practice

Address
4734 217th St Apt 3c
Bayside, NY 11361
Phone
(305) 904-9841
Fax
(305) 904-9841

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York