Individual
JONATHAN ODINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
327 BRIDGE PLZ N, FORT LEE, NJ 07024-5051
(201) 429-0097
Mailing address
415 MADISON AVE, WEST HEMPSTEAD, NY 11552-2352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
061623-01
NY
1223G0001X
General Practice Dentistry
Primary
22D102956200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2019
Last updated
01/29/2024
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