Gordon, Odell Delroy

Gordon, Odell Delroy is an individual health care provider with primary practice located at 40 Hurley Ave Suite 4, Kingston NY 12401-3739. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Gordon, Odell Delroy can be contacted via phone (845) 338-5600.

Contact Information

Primary practice address
40 Hurley Ave Suite 4 Kingston NY 12401-3739
Phone: (845) 338-5600
Fax: (845) 338-3058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F338818-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ14923500 New Jersey

Profile Details

NPI number 1659784809
LBN Legal business name Gordon, Odell Delroy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2014
Last updated May 16th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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