Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Richmond Hill Physician DO PC

Organization Adult Medicine Physician · NPI 1306017843

Richmond Hill Physician DO PC is an Adult Medicine Physician in South Richmond Hill, New York. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10152 Lefferts Blvd
South Richmond Hill, NY 11419-2006
Phone: (718) 849-0404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Diagnostic Radiology Physician Taxonomy 2085R0202X

Record details

NPI number1306017843
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Kohut — President · (718) 849-0404
NPI enumeratedMarch 12, 2008
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021
Mailing addressPo Box 152, Glen Head, NY 11545-0152