Most Relevant Information
Provider Data
| NPI Number: | 1003334749 |
| Provider Name: | MAXWELL ODOI |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 306332 |
Most Important Dates
| Enumeration Date: | 09/01/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
3478 CORSA AVE
BRONX
NY
104691829
Practice Location Phone/Fax
| Phone: | 6464274129 |
| Fax: |
Provider Mailing Location
3478 CORSA AVE
BRONX
NY
104691829
Provider Mailing Phone/Fax
| Phone: | 6464274129 |
| Fax: |