Tanni Odonnell PA

NPI 1952501413 - Physician Assistant - 363A00000X

NPI Details
NPI 1952501413
Gender Female
Enumeration Date 07/23/2007
Last Updated 01/17/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
400 N MAIN ST
WARSAW NY, 14569-1025, US
Phone (585) 243-9341
Fax
Business Location
23 MAIN ST
SUITE 102
HORNELL NY, 14843-1536, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 011885
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According to our database, Tanni Odonnell PA NPI is 1952501413, taxonomy code is 363A00000X and license number is 011885, license state is located at New York. Tanni Odonnell PA physically located at 400 N Main St, Warsaw NY, 14569-1025. NPI Number Tanni Odonnell PA has the Individual type.

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1952501413 NPI number is provided on an as is basis without warranty of any kind. 1952501413 is maintained by the National Plan & Provider Enumeration System. The contents of Tanni Odonnell PA are for informational purposes only.