Organization
ODYSSEY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYL BRUCE EVERETT (CONTROLLER)
(212) 361-1678
Entity
Organization
Contact information
Practice address
219 E 121 ST, NEW YORK, NY 10035
(212) 361-1678
(212) 361-1666
Mailing address
120 WALL ST, 17TH FLOOR, NEW YORK, NY 10005-3904
(212) 361-1678
(212) 361-1666
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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