Koffi Kodoe, NURSE Valid NPI
Individual provider · Pediatric Skilled Nursing Facility · Queens Village, NY
- NPI
- 1669869582
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Skilled Nursing Facility (Skilled Nursing Facility)
- Specialty group
- Nursing & Custodial Care Facilities
- Taxonomy code
- 3140N1450X
- License number
- 321675 (NY)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2015-04-17
- Last updated
- 2015-04-17
Practice location
21223 Hollis Ave
Queens Village, NY 11429
(202) 294-7955