Odin, Joseph A

Odin, Joseph A is an individual health care provider with primary practice located at 5 E 98Th St 12Th Floor, New York NY 10029-6501. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Hepatology is his primary health care specialty. Odin, Joseph A can be contacted via phone (212) 241-8035.

Contact Information

Primary practice address
5 E 98Th St 12Th Floor New York NY 10029-6501
Phone: (212) 241-8035
Fax: (212) 241-2064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 198140 New York
Allopathic & Osteopathic Physicians / Hepatology 207RI0008X 198140 New York
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 198140 New York

Profile Details

NPI number 1124058631
LBN Legal business name Odin, Joseph A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated May 16th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124058631 NPPES
New York MEDICAID 02157702

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