Individual
MICHAEL WAYNE O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 68TH ST # F-1817, NEW YORK, NY 10021-4870
(212) 746-1500
(212) 746-8900
Mailing address
525 E 68TH ST # F-1817, NEW YORK, NY 10021-4870
(212) 746-0373
(212) 746-7481
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
205698
NY
Other
Enumeration date
10/09/2006
Last updated
09/14/2011
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