Doctor Name: | MS. SANDRA C ODELL |
NPI Number: | 1679773626 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 1533171 |
Business Practice Address: | 3675 Old Yorktown Rd #9 Shrub Oak, NY - 105881516 |
Business Phone Number: | 9144552664 |
Business Fax Number: | |
Mailing Address: | 3675 Old Yorktown Rd, #9 SHRUB OAK |
State: | NY |
Postal Code: | 105881516 |
Phone Number: | 9144552664 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2007 |
NPI Last Update Date: | 07/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 1533171 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |