RICHMOND HILL PHYSICIAN DO PC NPI 1306017843

NPI Information

RICHMOND HILL PHYSICIAN DO PC is an adult medicine family medicine in South Richmond Hill, NY. The provider is definition to come. RICHMOND HILL PHYSICIAN DO PC NPI is 1306017843. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10152 LEFFERTS BLVD
SOUTH RICHMOND HILL, NY
ZIP 11419-006
Phone: (718) 849-0404

The provider's authorized official is Kathleen G. Kohut .
The authorized official title is President and has the following contact phone number (718) 849-0404.

The CLIA number assigned to this NPI record is 33D0152020 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2008 and was last updated on 10/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.