Ebenezer Odoom Md Pc

LBN: Ebenezer Odoom Md Pc
Ebenezer Odoom Md Pc is an health care organization with primary practice located at 21530 Hillside Ave , Queens Village NY 11427-1831. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty. Ebenezer Odoom Md Pc can be contacted via phone (718) 740-1701, or through Odoom, Ebenezer via phone (347) 276-4570.

Contact Information

Primary practice address
21530 Hillside Ave Queens Village NY 11427-1831
Phone: (718) 740-1701
Fax: (718) 740-1901
Website:
Map and Directions
Authorized official contact:
Name: Odoom, Ebenezer Doctor of Medicine (MD)
Phone: (347) 276-4570

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1942642038
LBN Legal business name Ebenezer Odoom Md Pc
DBA Doing business as
Authorized official Odoom, Ebenezer Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2013
Last updated Jul 18th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers