Individual
MRS. DENYSE R KOFOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
127 S BROADWAY, YONKERS, NY 10701-4006
(914) 378-7000
Mailing address
1124 TULSA ST, UNIONDALE, NY 11553-1738
(516) 967-1074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011343
NY
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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