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Organization
RICHMOND HILL PHYSICIAN DO PC
Active
Organization
RICHMOND HILL PHYSICIAN DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN G. KOHUT D.O. (PRESIDENT)
(718) 849-0404
Entity
Organization
Contact information
Practice address
10152 LEFFERTS BLVD, SOUTH RICHMOND HILL, NY 11419-2006
(718) 849-0404
Mailing address
PO BOX 152, GLEN HEAD, NY 11545-0152
(718) 849-0404
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
03/12/2008
Last updated
10/05/2021
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