Individual
DR. STEVEN A ODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Primary
179385
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052450
GHI
NY
05
—
01444600
—
NY
01
—
1120632
UNITED HEALTHCARE
NY
01
—
7934148
CIGNA
NY
01
—
P452672
OXFORD
NY
Enumeration date
01/17/2007
Last updated
04/30/2014
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