Individual
MRS. ANTONIA ODDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-8312
Mailing address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-8312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/05/2015
Last updated
04/01/2021
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