O'Donnell, Brendan Michael

O'Donnell, Brendan Michael is an individual health care provider with primary practice located at 24 Groton Ave , Cortland NY 13045-2014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. O'Donnell, Brendan Michael can be contacted via phone (607) 753-3774.

Contact Information

Primary practice address
24 Groton Ave Cortland NY 13045-2014
Phone: (607) 753-3774
Fax: (607) 753-3947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OS18219 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 268557 New York

Profile Details

NPI number 1750611190
LBN Legal business name O'Donnell, Brendan Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2010
Last updated Feb 10th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750611190 NPPES
New York MEDICAID 03722667

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