Mr Pavel Odintsov, APN | |
182 S Main St Ste 106, New City, NY 10956-3318 | |
(845) 358-4000 | |
(201) 529-5913 |
Full Name | Mr Pavel Odintsov |
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Gender | Male |
Speciality | Nurse Practitioner - Primary Care |
Location | 182 S Main St Ste 106, New City, 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 |
---|---|---|---|
1073893178 | NPI | - | NPPES |
Entity Name | Medical Care Institute. Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982758819 PECOS PAC ID: 6800794108 Enrollment ID: O20031223000634 |
Mailing Address | Practice Location Address |
---|---|
Mr Pavel Odintsov, APN 20 Grand St, 3rd Fl, Warwick, NY 10990-1035 Ph: (845) 987-3906 | Mr Pavel Odintsov, APN 182 S Main St Ste 106, New City, NY 10956-3318 Ph: (845) 358-4000 |
Debra Gilhooly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Route 304, New City, NY 10956 Phone: 845-634-8400 Fax: 845-634-0979 | |
Leslie Cooper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 N Little Tor Rd, New City, NY 10956 Phone: 845-999-3060 | |
Anie Joseph George, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 Evan Dr, New City, NY 10956 Phone: 845-634-1975 | |
Lisa R. Seiff, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Delta Dr, New City, NY 10956 Phone: 845-634-2514 Fax: 212-944-0466 | |
Mrs. Georgette Cooney-monard, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19 Dalewood Ct, New City, NY 10956 Phone: 845-638-6241 | |
Jennifer Mclane, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 N Little Tor Rd, New City, NY 10956 Phone: 845-999-3060 Fax: 845-999-3059 |