Individual
ROY A ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6021 STATEFARM RD, GUILDERLAND, NY 12084
(518) 456-6525
Mailing address
174 CRESCENT ST, SARATOGA SPRINGS, NY 12866
(518) 581-1581
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
376327
NY
Other
Enumeration date
08/21/2008
Last updated
08/22/2008
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