Kodjo, Cheryl

Kodjo, Cheryl is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Kodjo, Cheryl can be contacted via phone (585) 275-2964.

Contact Information

Primary practice address
601 Elmwood Ave Rochester NY 14642-0002
Phone: (585) 275-2964
Fax: (585) 242-9733
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 206166 New York
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 206166 New York

Profile Details

NPI number 1023050309
LBN Legal business name Kodjo, Cheryl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023050309 NPPES
New York MEDICAID 02244177

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