Individual
DR. MAUREEN C ODWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
121 EAST 60TH STREET, SUITE 2C, NEW YORK, NY 10022
(212) 327-3415
(212) 838-4145
Mailing address
136E 57TH ST 1502, NEW YORK, NY 10022-2780
(212) 688-0618
(212) 688-0615
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT006151
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C236C1
MEDICARE ID
NY
Enumeration date
10/11/2006
Last updated
09/15/2015
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