Individual
PHILIP O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3137
Mailing address
1595 LEXINGTON AVE APT 3B, NEW YORK, NY 10029-6342
(540) 223-1954
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
321195
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
03/28/2019
Last updated
01/09/2024
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