MEDICARE: HOWARD KOLODNY,MDPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1316306996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOWARD KOLODNY,MDPC

Provider Business Mailing Address
First Line	:	21 HEREFORD RD
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11020-1712
Country	:	US
Telephone Number	:	516-482-3124
Fax Number	:	516-482-3124

Provider Business Practice Location Address
First Line	:	21 HEREFORD RD
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11020-1712
Country	:	US
Telephone Number	:	516-482-3124
Fax Number	:	516-482-3124

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HOWARD DANIEL KOLODNY
Credential	:
Telephone Number	:	516-482-3124

Provider Enumeration Date	:	02/11/2016
Last Update Date	:	02/11/2016

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