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Odellia Kidanian

NPI 1942868070 · on the registry since 2019

Practice

Address
212 Dogwood Rd
Roslyn, NY 11576
Phone
(516) 469-0911

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-06-04

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