Individual
ANGELA YAA ODURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-7382
(718) 869-8568
Mailing address
760 BROADWAY, DEPARTMENT OF MANAGED CARE, 2B-230, BROOKLYN, NY 11206
(718) 630-3020
(718) 630-3122
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
271740
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03873654
—
NY
01
—
271740
LICENSE
NY
Enumeration date
07/17/2010
Last updated
05/15/2019
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