Basic Information
| Provider Information | |||||||||
| NPI: | 1043307028 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAWIRES | ||||||||
| FirstName: | ODETTE | ||||||||
| MiddleName: | W. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2342 LODOVICK AVE FL 2 | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104696330 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7325008285 | ||||||||
| FaxNumber: | 7185152459 | ||||||||
| Practice Location | |||||||||
| Address1: | 1400 PELHAM PARKWAY SOUTH | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189183060 | ||||||||
| FaxNumber: | 7189184469 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/09/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 233361 | NY | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.