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Individual

LALE E ODEKON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
145 HICKS ST, A35, BROOKLYN, NY 11201-2325
(917) 202-4101
Mailing address
145 HICKS ST, A35, BROOKLYN, NY 11201-2325
(917) 202-4101

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
219600
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02135477
NY
Enumeration date
06/28/2005
Last updated
06/13/2012
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