IndividualActive
Koffi Kodoe, NURSE
NPI 1669869582 · Pediatric Skilled Nursing Facility · Queens Village, NY
Provider details
- NPI number
- 1669869582
- Entity type
- Individual
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Credential
- NURSE
- Sex
- Male
- Sole proprietor
- Yes
- License
- 321675 (NY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
21223 Hollis Ave
Queens Village, NY 11429
Phone: (202) 294-7955
Approximate (ZIP-level) locationGet directions
Mailing address
21223 Hollis Ave
Queens Village, NY 11429
Registry dates
- Enumerated
- 2015-04-17
- Last updated
- 2015-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.