Provider Demographics
NPI:1316306996
Name:HOWARD KOLODNY,MDPC
Entity type:Organization
Organization Name:HOWARD KOLODNY,MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:KOLODNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-482-3124
Mailing Address - Street 1:21 HEREFORD RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1712
Mailing Address - Country:US
Mailing Address - Phone:516-482-3124
Mailing Address - Fax:516-482-3124
Practice Address - Street 1:21 HEREFORD RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11020-1712
Practice Address - Country:US
Practice Address - Phone:516-482-3124
Practice Address - Fax:516-482-3124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty