Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PAVEL ODINTSOV, APN
ActiveMR. PAVEL ODINTSOV, APN is a Primary Care Nurse Practitioner healthcare provider located in NEW CITY, New York. NPI 1073893178 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · NEW CITY, NY
Registration Details
- NPI Number
- 1073893178
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2011 (14.99948576312 yrs)
- Last Updated
- Aug 6, 2024
- Licenses
-
306748 (NY)26NJ00337800 (NJ)306748 (NY)
Practice Information
- Address
-
182 S MAIN ST STE 106NEW CITY, NY, 109563318Browse NY providers · Browse ZIP 10956
- Phone
- 8453584000
- Fax
- 2015295913
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Adult Health Nurse Practitioner
- Additional Specialty
- Primary Care Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.