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Odell Upshaw
NPI 1174038046 · on the registry since 2017 · sole proprietor
Practice
- Address
- 85 Meigs St Apt 1a
Rochester, NY 14607 - Phone
- (585) 448-8539
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York