NPI | 1467548925 |
---|---|
Former Legal Business Name | RAOUF KODSY MD |
Entity Type | Organization |
Authorized Contact | RAOUF KODSY Physician 315-736-0155 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 200560) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2008-03-04 |