Individual provider · NPI-1
Thomas R O'Donnell, M.D.
Otolaryngology · Islandia, NY
NPI number1821069469
StatusActive
Last updated in NPPESApr 3, 2019
Details
- NPI
- 1821069469
- Entity type
- Individual (NPI-1)
- Name
- Thomas R O'Donnell
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2006
- Last updated
- Apr 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 231089 | NY | Yes |
| 207YS0012X | Otolaryngology, Sleep Medicine | 231089 | NY |
Practice location
2929 Expressway Dr NIslandia, NY 11749-5306
Phone 631-665-2430 · Fax 631-665-2342
Mailing address
660 White Plains Rd Fl 4Tarrytown, NY 10591-5139
Phone 914-984-2546
Other practice locations
240 Patchogue Yaphank Rd Ste 1
East Patchogue, NY 11772-4894
East Patchogue, NY 11772-4894
Phone 631-654-0550 · Fax 631-654-0129
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