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RAOUF KODSY M.D. PHYSICIAN PC NPI 1518190453


NPI Information

NPI: 1518190453
Provider Name: RAOUF KODSY, M.D. PHYSICIAN PC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
1703 GENESEE ST
UTICA, NY
ZIP 13501
Phone: (315) 736-0155
Get Directions

RAOUF KODSY, M.D. PHYSICIAN PC is a geriatric medicine family medicine in Utica, NY. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. RAOUF KODSY, M.D. PHYSICIAN PC NPI is 1518190453. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1703 GENESEE ST
UTICA, NY
ZIP 13501
Phone: (315) 736-0155
Fax: (315) 732-0393

The provider's authorized official is Raouf Kodsy .
The authorized official title is President and has the following contact phone number (315) 736-0155.

The enumeration date for this NPI number is 8/26/2009 and was last updated on 2/18/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric Medicine200560-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103411061MEDICAIDNEW YORK
2J100019405MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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