Individual
DR. STEPHEN MARIO ODDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
914 BAY RIDGE PKWY, BROOKLYN, NY 11228-2302
(718) 748-5700
(718) 763-0522
Mailing address
340 W 19TH ST APT 6, NEW YORK, NY 10011-3985
(917) 406-3861
(718) 763-0522
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
195022
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01722283
—
NY
Enumeration date
07/20/2006
Last updated
07/15/2014
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