MEDICARE: DR. KAREN MARIE ODRZYWOLSKI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	261776	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184898595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN MARIE ODRZYWOLSKI M.D.

Provider Business Mailing Address
First Line	:	17 LANSING STREET
Second Line	:	AMMS, PC / CREDENTIALING OFFICE
City	:	AUBURN
State	:	NY
Zip	:	13021-1941
Country	:	US
Telephone Number	:	315-255-7438
Fax Number	:	315-255-7099

Provider Business Practice Location Address
First Line	:	77 NELSON ST STE 120
Second Line	:	D/B/A NEUROLOGY SERVICES OF AUBURN
City	:	AUBURN
State	:	NY
Zip	:	13021-1941
Country	:	US
Telephone Number	:	315-252-7434
Fax Number	:	315-253-8104

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2008
Last Update Date	:	03/21/2023

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