Search › New York › 171400000X
Melissa Odom
NPI 1386269751 · on the registry since 2020 · sole proprietor
Practice
- Address
- 3030 Northern Blvd Ste 108
Long Island City, NY 11101 - Phone
- (646) 812-7117
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Also registered as
- 163WI0500X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-25
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