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Individual

DR. GREGORY N ODELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
157 TOMAHAWK ST, YORKTOWN HEIGHTS, NY 10598-6314
(914) 258-0500
(914) 248-5478
Mailing address
157 TOMAHAWK ST, YORKTOWN HEIGHTS, NY 10598-6314
(914) 258-0500
(914) 248-5478

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
229272
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02625625
NY
01
229272
LIC.
NY
Enumeration date
10/01/2006
Last updated
06/11/2019
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