Chavonne Kouassi
Pediatrics, Pediatric Gastroenterology in Rochester, NY. Individual provider (NPI-1).
NPI number1154772630
StatusActive
Last updated in NPPESJul 31, 2023
Details
- NPI
- 1154772630
- Entity type
- Individual (NPI-1)
- Name
- Chavonne Kouassi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2016
- Certification date
- Jul 31, 2023
- Last updated
- Jul 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | 304937 | NY | Yes |
Practice location
601 Elmwood Ave.Rochester, NY 14642-0001
Phone 585-275-2647 · Fax 585-275-0707
Mailing address
601 Elmwood Ave Box 635Rochester, NY 14642-0001
Phone 585-275-2647
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