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 Not confirmed with CMS for 11 years — call before visiting
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