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Contact Information

RAOUF KODSY, M.D. PHYSICIAN PC
1703 GENESEE ST
UTICA, NY13501
 Phone: 315-736-0155
 Fax: 315-732-0393
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RAOUF KODSY MD PHYSICIAN PC · (Female)

NPI # 1518190453
Status Active
Credentials
Entity Individual
Enumeration date 08/26/2009
Last updated 02/18/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 200560-1
  • NY Medicaid 03411061
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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