| Thomas Oddo, DC | |
|
206a E 30th St, New York, NY 10016-8202 | |
| (646) 256-9513 | |
| Not Available |
| Full Name | Thomas Oddo |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 206a E 30th St, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528427846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 70012767 (New York) | Primary |
| Provider Name | City Integrative Chiropractic Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619550548 PECOS PAC ID: 4981054665 Enrollment ID: O20231220003538 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Oddo, DC 33 Gellatly Dr, Wappingers Falls, NY 12590-6452 Ph: (845) 242-4495 | Thomas Oddo, DC 206a E 30th St, New York, NY 10016-8202 Ph: (646) 256-9513 |
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