Odell, Gregory N

Odell, Gregory N is an sole proprietor health care provider with primary practice located at 157 Tomahawk St , Yorktown Heights NY 10598-6314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Odell, Gregory N can be contacted via phone (914) 258-0500.

Contact Information

Primary practice address
157 Tomahawk St Yorktown Heights NY 10598-6314
Fax: (914) 248-5478
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 229272 New York

Profile Details

NPI number 1578656849
LBN Legal business name Odell, Gregory N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2006
Last updated Jun 11th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578656849 NPPES
New York MEDICAID 02625625
New York Other 229272

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