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Ebenezer Odoom MD PC

Geriatric Medicine (Internal Medicine) Physician in Queens Village, NY · enumerated 2013 · authorized official Ebenezer Odoom, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942642038

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Registry record

Entity type Organization (Type 2)
Legal business name Ebenezer Odoom MD PC
Practice address 21530 Hillside Ave, Queens Village, NY, 11427
Phone (718) 740-1701
Fax (718) 740-1901
Enumeration date Jul 18, 2013
Last updated in NPPES Jul 18, 2013

Taxonomy & classification

207RG0300X Geriatric Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Ebenezer Odoom
Title President
Phone (347) 276-4570

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Ebenezer Odoom MD PC located?
The practice location on file with NPPES is in Queens Village, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-07-18. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-18.