- Practice location
- 182 S Main St Ste 106, New City, NY 10956-3318
- Phone
- 845-358-4000
- Fax
- —
- Last updated
- August 6, 2024
Pavel Odintsov NP In Adult Health PLLC is a healthcare organization based in New City, NY. Pavel Odintsov NP In Adult Health PLLC practices in New City, NY. The NPI Number for Pavel Odintsov NP In Adult Health PLLC is 1851121610. The current practice location address for Pavel Odintsov NP In Adult Health PLLC is 182 S Main St Ste 106, New City, NY 10956-3318 and can be reached out via phone at 845-358-4000.
Provider Profile Details
- NPI Number
- 1851121610
- Provider Name
- Pavel Odintsov NP In Adult Health PLLC
- Provider Entity Type
- Organization
- Address
- 182 S Main St Ste 106, New City, NY 10956-3318
- Phone Number
- 845-358-4000
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Organization Subpart
- Yes
- Parent Organization
- Pavel Odintsov NP In Adult Health And Psychiatry
- Authorized Official
- Pavel Odintsov, ADULT-NP, PMHNP · Owner/Nurse Practitioner · 201-665-4150
- Other Names
- Pavel Odintsov NP In Adult Health PLLC (Former Legal Business Name)
- Provider Enumeration Date
- August 6, 2024
- Last Update Date
- August 6, 2024
- Certification Date
- August 6, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 182 S Main St Ste 106
New City, NY 10956-3318 - City
- New City
- State
- New York
- Zip
- 10956-3318
- Phone Number
- 845-358-4000
Provider Business Mailing Address Details
- Address
- 297 Hillsdale Ave
Hillsdale, NJ 07642-2212 - City
- Hillsdale
- State
- NJ
- Zip
- 07642-2212
- Phone Number
- 201-665-4150
License Information
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- Taxonomy (2)
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
- Taxonomy (3)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Taxonomy (4)
- Nurse Practitioner, Primary Care · 363LP2300X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Pavel Odintsov NP In Adult Health PLLC?
The NPI number of Pavel Odintsov NP In Adult Health PLLC is 1851121610. It was assigned on August 6, 2024 and is currently active in the NPPES registry.
What is the specialty of Pavel Odintsov NP In Adult Health PLLC?
Pavel Odintsov NP In Adult Health PLLC is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X).
Where does Pavel Odintsov NP In Adult Health PLLC practice?
The practice location is 182 S Main St Ste 106, New City, NY 10956-3318. The office can be reached at 845-358-4000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851121610 directly on the NPPES registry website.