Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Woodside Medical Practice, PC

Organization Internal Medicine Physician · NPI 1114244712

Woodside Medical Practice, PC is an Internal Medicine Physician in Woodside, New York. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

65 06 Roosevelt Ave
Woodside, NY 11377-2928
Phone: (718) 374-6222
Fax: (718) 374-6213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1114244712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rafael Rodriguez — President · (718) 505-0030
NPI enumeratedApril 23, 2010
Last updated in NPPESApril 23, 2010
Mailing address65 06 Roosevelt Avenue, Woodside, NY 11377-2928

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