# RICHMOND HILL PHYSICIAN DO PC

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

## Provider details

- **NPI number:** 1306017843
- **Authorized official:** DR. KATHLEEN G. KOHUT D.O. (PRESIDENT)
- **Authorized official phone:** (718) 849-0404

## Contact information

- **Practice address:** 10152 LEFFERTS BLVD, SOUTH RICHMOND HILL, NY 11419-2006
- **Practice address phone:** (718) 849-0404
- **Mailing address:** PO BOX 152, GLEN HEAD, NY 11545-0152
- **Mailing address phone:** (718) 849-0404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 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