Individual
ODYSSEUS ADAMIDES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
Mailing address
14 PARK FOREST DR, PITTSFORD, NY 14534-3559
(585) 383-5678
(585) 248-0198
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
132100
NY
2084P0802X
Addiction Psychiatry Physician
132100
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00357502
—
NY
Enumeration date
07/02/2008
Last updated
07/02/2008
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