| Raouf Kodsy Physician Pc | |
|
1644 Genesee St Utica NY 13502-5428 | |
| (315) 736-0155 | |
| (315) 732-0393 |
| Full Name | Raouf Kodsy Physician Pc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1644 Genesee St, Utica, New York |
| Authorized Official Name and Position | Raouf Kodsy (PHYSICIAN) |
| Authorized Official Contact | 3157360155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raouf Kodsy Physician Pc 1644 Genesee St Utica NY 13502-5428 Ph: (315) 736-0155 | Raouf Kodsy Physician Pc 1644 Genesee St Utica NY 13502-5428 Ph: (315) 736-0155 |
| NPI Number | 1518190305 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 08/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518190305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 200560 (New York) | Primary |
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