Odintsov, Pavel

Odintsov, Pavel is an individual health care provider with primary practice located at 182 S Main St Ste 106 , New City NY 10956-3318. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Odintsov, Pavel can be contacted via phone (845) 358-4000.

Contact Information

Primary practice address
182 S Main St Ste 106 New City NY 10956-3318
Phone: (845) 358-4000
Fax: (201) 529-5913
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 306748 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00337800 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 306748 New York

Profile Details

NPI number 1073893178
LBN Legal business name Odintsov, Pavel
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2011
Last updated Aug 6th, 2024 - about 2 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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