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
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
03/12/2008
Last updated
10/05/2021
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