Richard Wallace Koffler CASAC

  • NPI 1154494102
According to our database, the NPI number for Richard Wallace Koffler CASAC is 1154494102 and activated since 17 years ago. Richard Wallace Koffler CASAC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 8268 164th St, Jamaica, NY 11432. You can also contact Richard Wallace Koffler CASAC via telephone number is (718) 883-3225. Provider NPI information was last updated on 07/08/2007.

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Overview of Richard Wallace Koffler CASAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/16/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 005475
  • License State: NY

Provider Mailing Address

  • Address: 7901 Broadway
    Managed Care, D1-01
    Elmhurst, NY 11373
  • Phone: 718-334-1921
  • Fax: 718-334-3432

Provider Practice Location

  • Address: 8268 164th St
    Jamaica, NY 11432
  • Phone: 718-883-3225
  • Fax: 718-883-6193

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 005475
  • License State: NY
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 00246075
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NY
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Richard Wallace Koffler CASAC?
  • A: The npi number for Richard Wallace Koffler CASAC is 1154494102.
  • Q: What are Richard Wallace Koffler CASAC's specialties?
  • A: Richard Wallace Koffler CASAC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Richard Wallace Koffler CASAC?
  • A: The medical license number for Richard Wallace Koffler CASAC is 005475 and issued in NY in USA.
  • Q: Where is Richard Wallace Koffler CASAC practice location?
  • A: Richard Wallace Koffler CASAC is practicing at 8268 164th St, Jamaica, NY 11432.
  • Q: How to contact Richard Wallace Koffler CASAC?
  • A: You can contact Richard Wallace Koffler CASAC via 718-883-3225.