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NPI Code Detail

MEDICARE: MRS. BERNADETTE MCCONNELL ODONNELL

MEDICARE:  MRS. BERNADETTE  MCCONNELL ODONNELL
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
1174400000XSpecialist

General Provider Information

NPI Number : 1497000301
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BERNADETTE MCCONNELL ODONNELL
Provider Business Mailing Address
First Line : 424 W 261ST ST
Second Line : PH
City : BRONX
State : NY
Zip : 10471-1027
Country : US
Telephone Number : 718-548-4679
Fax Number :
Provider Business Practice Location Address
First Line : 424 W 261ST ST
Second Line : PH
City : BRONX
State : NY
Zip : 10471-1027
Country : US
Telephone Number : 718-548-4679
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2012
Last Update Date : 07/17/2012

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Directions to “ MRS. BERNADETTE MCCONNELL ODONNELL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.