KOFFI KODOE NURSE
NPI 1669869582
Skilled Nursing Facility - Nursing Care, Pediatric in Queens Village, NY

Active since April 17, 2015
21223 HOLLIS AVE, QUEENS VILLAGE, NY 11429(202) 294-7955 Get Directions Write a Review

NPPES record last updated: April 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Koffi Kodoe Nurse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOFFI KODOE NURSE (NPI 1669869582) is an individual nursing care, pediatric provider in Queens Village, New York, licensed in New York (321675) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1669869582
Entity TypeIndividualMale
Primary Taxonomy3140N1450X
Provider Legal NameKOFFI KODOECredential: NURSE
Location Address21223 HOLLIS AVEQueens Village, NY 11429
Mailing Address21223 Hollis AveQueens Village, NY 11429 · (202) 294-7955
Sole ProprietorYes
Enumeration DateApril 17, 2015
NPI 1669869582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities
Taxonomy Code3140N1450X
License Licensed in NY · 321675
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.
21223 HOLLIS AVE, Queens Village, NY 11429

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koffi Kodoe's NPI number?

The NPI number for Koffi Kodoe is 1669869582. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Koffi Kodoe located?

Koffi Kodoe practices at 21223 Hollis Ave, Queens Village, NY 11429. The listed phone number is (202) 294-7955.

What is Koffi Kodoe's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

When was this NPI record last updated?

The NPPES record for Koffi Kodoe was last updated on April 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.