Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0001X | Dental Public Health | 047522 | NY |
N | 1223G0001X | General Practice | 047522 | NY |
N | 213EG0000X | General Practice | 047522 | NY |
NPI | 1710950605 |
---|---|
Provider Name | Dr. Rocco Joseph Oddo |
First Address | Williamsville, NY 14221-3437 |
Second Address | Kenmore, NY 14217-1326 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 08/07/2007 |