National Provider Identifier
Chavonne Kouassi
Chavonne Kouassi is listed in the NPPES registry with a primary specialty of Pediatric Gastroenterology Physician in Rochester, NY and a listed phone number of (585) 275-2647.
Profile Overview
- NPI
- 1154772630
- Provider Type
- Individual
- Primary Specialty
- Pediatric Gastroenterology Physician
- Enumeration Date
- June 27, 2016
- Last Updated
- July 31, 2023
Practice Location
- 601 Elmwood Ave.
- Rochester, NY 14642-0001
Phone: (585) 275-2647
Mailing Address
- 601 Elmwood Ave Box 635
- Rochester, NY 14642-0001
Specialties
- Pediatric Gastroenterology Physician (2080P0206X)
Full Record
- NPI
- 1154772630
- Entity Type
- Individual
- Last Name
- Kouassi
- First Name
- Chavonne
- Mailing Street Address
- 601 Elmwood Ave Box 635
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-2647
- Practice Street Address
- 601 Elmwood Ave.
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2647
- Practice Fax
- (585) 275-0707
- Enumeration Date
- June 27, 2016
- Last Updated
- July 31, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 31, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Gastroenterology Physician (2080P0206X)