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Contact Information

MARY ODUYELA
121 DEKALB AVE
BROOKLYN, NY11201-5425
 Phone: 718-250-6946
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARY ODUYELA · (Female)

NPI # 1144602996
Status Active
Credentials
Entity Individual
Enumeration date 06/28/2015
Last updated 10/24/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 295434
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
  • PLAINVIEW HOSPITAL - (Acute Care)
    888 OLD COUNTRY ROAD
    PLAINVIEW, NY 11803
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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