SearchNew York104100000X

Justin Odle

NPI 1760172449 · on the registry since 2023 · sole proprietor

Practice

Address
694 Beach 20th St
Far Rockaway, NY 11691
Phone
(718) 471-0982
Clinicians at this address
23

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Male
Record last updated
2026-05-19

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