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Organization

PETER M ODELL MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER M ODELL MD (PRERSIDENT)
(212) 288-8025
Entity
Organization

Contact information

Practice address
53 E 70TH ST, NEW YORK, NY 10021-4986
(212) 288-8025
(212) 288-8095
Mailing address
53 EAST 70TH STREET, NEW YORK, NY 10021
(212) 288-8025
(212) 288-8095

Taxonomy

Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
109269
NY

Other

Enumeration date
12/05/2011
Last updated
03/03/2017
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