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

Koffi Kodoe, NURSE

Individual provider Pediatric Skilled Nursing Facility · NPI 1669869582

Koffi Kodoe, NURSE is a Pediatric Skilled Nursing Facility in Queens Village, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

21223 Hollis Ave
Queens Village, NY 11429
Phone: (202) 294-7955
Show map & directions

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

Specialties & licences

Pediatric Skilled Nursing Facility (primary) Taxonomy 3140N1450X · Licence 321675 (NY)

Record details

NPI number1669869582
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSE
Sole proprietorYes
NPI enumeratedApril 17, 2015
Last updated in NPPESApril 17, 2015