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
Phone: (914) 258-0500
Fax: (914) 248-5478
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578656849 | NPPES |
New York | MEDICAID | 02625625 | |
New York | Other | 229272 |
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