Individual provider · Type 1 NPI

Michael O'Donnell, PA-C

Physician Assistant · New York, NY

NPI number 1174498539 Active

Practice location

1 Gustave L Levy Pl
New York, NY 10029-6504

Call (212) 241-1653 Map

Fax (212) 289-6393

Mailing address

1468 Madison Ave
New York, NY 10029-6508

Other practice locations

  • 1468 Madison Ave, New York, NY 10029-6508 · (212) 241-6500

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X034431 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174498539

Michael O'Donnell, PA-C's National Provider Identifier is 1174498539, issued on Oct 7, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Jan 15, 2026.