Odorisi, Marc L

Odorisi, Marc L is an individual health care provider with primary practice located at 2365 S Clinton Ave Ste 100, Rochester NY 14618-2645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Odorisi, Marc L can be contacted via phone (585) 442-5320.

Contact Information

Primary practice address
2365 S Clinton Ave Ste 100 Rochester NY 14618-2645
Phone: (585) 442-5320
Fax: (585) 442-5526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 190919 New York

Profile Details

NPI number 1083611289
LBN Legal business name Odorisi, Marc L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jan 12th, 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 1083611289 NPPES
New York MEDICAID 01477783

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