person
Mr. Pavel Odintsov, APN
Primary Care Nurse Practitioner in New City, New York
NPI 1073893178

Pavel Odintsov is a Primary Care Nurse Practitioner based in Warwick, NY and is specialized in Primary Care. Pavel Odintsov practices in New City, NY and has the professional credentials of APN. The NPI Number for Pavel Odintsov is 1073893178 and holds a License No. 306748 (New York).

The current practice location address for Pavel Odintsov is 182 S Main St Ste 106, New City, NY and can be reached out via phone at 845-358-4000 and via fax at 201-529-5913.

Location: 182 S Main St Ste 106, New City, NY, 10990-1035
person
Provider Profile Details
NPI Number
1073893178
Provider Name
Pavel Odintsov
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
182 S Main St Ste 106, New City, NY, 10990-1035
Phone Number
845-358-4000
Fax Number
201-529-5913
Provider Enumeration Date
08/19/2011
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
182 S Main St Ste 106
City
State
Zip
10956-3318
Phone Number
845-358-4000
Fax Number
201-529-5913
person
Provider Business Mailing Address Details
Address
182 S Main St Ste 106
City
State
Zip
10956-3318
Phone Number
845-358-4000
Fax Number
201-529-5913
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
26NJ00337800 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
306748 (New York)
Definition
Definition to come...
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