Individual provider · Type 1 NPI
Koffi Kodoe, NURSE
Pediatric Skilled Nursing Facility · Queens Village, NY
NPI number
1669869582
Active
Practice location
21223 Hollis Ave
Queens Village, NY 11429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 321675 (NY) |
Pediatric Skilled Nursing Facility: 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.
About NPI 1669869582
Koffi Kodoe, NURSE's National Provider Identifier is 1669869582, issued on Apr 17, 2015. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Queens Village, NY. The record was last updated on Apr 17, 2015.