Odedosu, Taiye O
Odedosu, Taiye O is an sole proprietor health care provider with primary practice located at 462 1St Avenue, 27Th Street, Bellevue Hospital Module C,, New York NY 10016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as her primary health care specialty. Odedosu, Taiye O can be contacted via phone (212) 562-1619.Contact Information
Primary practice address
462 1St Avenue, 27Th Street, Bellevue Hospital Module C,
New York NY 10016
Phone: (212) 562-1619
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 238193 | New York |
Profile Details
| NPI number | 1356415970 |
|---|---|
| LBN Legal business name | Odedosu, Taiye O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356415970 | NPPES |
| New York | Other | 251296 | MDID |
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