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Koffi Kodoe, NURSE
Pediatric Skilled Nursing Facility in Queens Village, New York
NPI 1669869582

Koffi Kodoe is a Pediatric Skilled Nursing Facility based in Queens Village, NY and is specialized in Nursing Care, Pediatric. Koffi Kodoe practices in Queens Village, NY and has the professional credentials of NURSE. The NPI Number for Koffi Kodoe is 1669869582 and holds a License No. 321675 (New York).

The current practice location address for Koffi Kodoe is 21223 Hollis Ave, Queens Village, NY and can be reached out via phone at 202-294-7955.

Location: 21223 Hollis Ave, Queens Village, NY, 11429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669869582
Provider Name
Koffi Kodoe
Credential
NURSE
Provider Entity Type
Individual
Gender
Male
Address
21223 Hollis Ave, Queens Village, NY, 11429
Phone Number
202-294-7955
Fax Number
Provider Enumeration Date
04/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21223 Hollis Ave
City
Queens Village
State
New York
Zip
11429
Phone Number
202-294-7955
Fax Number
person
Provider Business Mailing Address Details
Address
21223 Hollis Ave
City
Queens Village
State
New York
Zip
11429
Phone Number
202-294-7955
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
321675 (New York)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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