Individual provider · Type 1 NPI
Jamil Odeh, PA
Medical Physician Assistant · New York, NY
NPI number
1679628424
Active
Practice location
525 E 68th St
New York, NY 10021-4870
Mailing address
101 Brooklyn Ave
New Hyde Park, NY 11040-2855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5234707 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1679628424
Jamil Odeh, PA's National Provider Identifier is 1679628424, issued on Jan 24, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.