Most Relevant Information
Provider Data
| NPI Number: | 1003199746 |
| Provider Name: | ODESSA FYNN CM |
| Entity Type: | Individual |
| Taxonomy Code: | 176B00000X |
| Specialty: | Midwife |
| License Number: | 001456 |
Most Important Dates
| Enumeration Date: | 09/20/2011 |
| Last Updated: | 05/26/2015 |
Provider Practice Location
1400 PELHAM PKWY S
BS. 33
BRONX
NY
104611138
Practice Location Phone/Fax
| Phone: | 7189183060 |
| Fax: |
Provider Mailing Location
1400 PELHAM PKWY S
BS. 33
BRONX
NY
104611138
Provider Mailing Phone/Fax
| Phone: | 7189183060 |
| Fax: |