Active NPIIndividual providerSole proprietor

Luc Landry Sumo Kouatcho

General Acute Care Hospital in Staten Island, New York

NPI Number1366331027
Practice location
355 Bard Ave, Staten Island, NY 10310-1664
Fax
—
Last updated
June 30, 2025

Luc Landry Sumo Kouatcho is a General Acute Care Hospital based in Staten Island, NY. Luc Landry Sumo Kouatcho practices in Staten Island, NY. The NPI Number for Luc Landry Sumo Kouatcho is 1366331027. The current practice location address for Luc Landry Sumo Kouatcho is 355 Bard Ave, Staten Island, NY 10310-1664 and can be reached out via phone at 718-818-1645.

Provider Profile Details

NPI Number
1366331027
Provider Name
Luc Landry Sumo Kouatcho
Provider Entity Type
Individual
Gender
Male
Address
355 Bard Ave, Staten Island, NY 10310-1664
Phone Number
718-818-1645
Primary Taxonomy
General Acute Care Hospital · 282N00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 30, 2025
Last Update Date
June 30, 2025
Certification Date
June 30, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
355 Bard Ave
Staten Island, NY 10310-1664
Zip
10310-1664
Phone Number
718-818-1645
Staten Island, NY 10310Get directions →

Provider Business Mailing Address Details

Address
288 Kissel Ave Apt 2D
Staten Island, NY 10310-1636
City
Staten Island
State
NY
Zip
10310-1636
Phone Number
240-491-1319

License Information

License State
NY
Taxonomy
General Acute Care Hospital · 282N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Luc Landry Sumo Kouatcho?

The NPI number of Luc Landry Sumo Kouatcho is 1366331027. It was assigned on June 30, 2025 and is currently active in the NPPES registry.

What is the specialty of Luc Landry Sumo Kouatcho?

Luc Landry Sumo Kouatcho is registered under the primary taxonomy General Acute Care Hospital (code 282N00000X).

Where does Luc Landry Sumo Kouatcho practice?

The practice location is 355 Bard Ave, Staten Island, NY 10310-1664. The office can be reached at 718-818-1645 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366331027 directly on the NPPES registry website.

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