Thomas Oddo, DC | |
206a E 30th St, New York, NY 10016-8202 | |
(646) 256-9513 | |
Not Available |
Full Name | Thomas Oddo |
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Gender | Male |
Speciality | Chiropractor |
Location | 206a E 30th St, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528427846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 70012767 (New York) | Primary |
Provider Name | City Integrative Chiropractic Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619550548 PECOS PAC ID: 4981054665 Enrollment ID: O20231220003538 |
Mailing Address | Practice Location Address |
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Thomas Oddo, DC 33 Gellatly Dr, Wappingers Falls, NY 12590-6452 Ph: (845) 242-4495 | Thomas Oddo, DC 206a E 30th St, New York, NY 10016-8202 Ph: (646) 256-9513 |
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