Organization
STEVEN A. ODRICH,MD, MARC G. ODRICH, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FLORENCE A HATTASCH (MANAGER)
(718) 432-2020
Entity
Organization
Contact information
Practice address
3765 RIVERDALE AVE, BRONX, NY 10463-1845
(718) 432-2020
(718) 432-8482
Mailing address
3765 RIVERDALE AVE, BRONX, NY 10463-1845
(718) 432-2020
(718) 432-8482
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
163491
NY
207W00000X
Ophthalmology Physician
Primary
179385
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000B21
BLUE CROSS
NY
01
—
0052450
GHI
NY
05
—
01444600
—
NY
05
—
01783462
—
NY
01
—
1120632
UNITED HEALTHCARE
NY
01
—
7934148
CIGNA
NY
01
—
GS278
OXFORD
NY
01
—
P452672
OXFORD
NY
Enumeration date
06/16/2008
Last updated
03/02/2016
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