# APOLLO MEDICAL DIAGNOSTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093409609
- **Authorized official:** DR. RICHARD C KOFFLER MD (OWNER)
- **Authorized official phone:** (516) 744-6933

## Contact information

- **Practice address:** 44 BETHPAGE RD UNIT 3, HICKSVILLE, NY 11801-1538
- **Practice address phone:** (516) 744-6933
- **Practice address fax:** (877) 309-0329
- **Mailing address:** 44 BETHPAGE RD UNIT 3, HICKSVILLE, NY 11801-1538
- **Mailing address phone:** (516) 744-6933
- **Mailing address fax:** (877) 309-0329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2023
- **Last updated:** 06/06/2023