Organization
PAVEL ODINTSOV NP IN ADULT HEALTH PLLC
Active
Parent organization
PAVEL ODINTSOV NP IN ADULT HEALTH AND PSYCHIATRY
Other names
PAVEL ODINTSOV NP IN ADULT HEALTH PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAVEL ODINTSOV NP IN ADULT HEALTH AND PSYCHIATRY
Authorized official
PAVEL ODINTSOV ADULT-NP., PMHNP. (OWNER/NURSE PRACTITIONER)
(201) 665-4150
Entity
Organization
Contact information
Practice address
182 S MAIN ST STE 106, NEW CITY, NY 10956-3318
(845) 358-4000
Mailing address
297 HILLSDALE AVE, HILLSDALE, NJ 07642-2212
(201) 665-4150
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us