Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BON C. KOO, M.D.
Active Sole ProprietorBON C. KOO, M.D. is a Long Term Care Hospital healthcare provider located in QUEENS VILLAGE, New York. NPI 1265586804 is currently active in the NPPES registry. Verify at CMS.
Long Term Care Hospital · QUEENS VILLAGE, NY
Registration Details
- NPI Number
- 1265586804
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2007 (19.372750857259 yrs)
- Last Updated
- Jul 8, 2007
- License
-
134508 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8045 WINCHESTER BLVDQUEENS VILLAGE, NY, 114272193Browse NY providers · Browse ZIP 11427
- Phone
- 7182644296
- Fax
- 7182644212
- Primary Specialty
-
Long Term Care Hospital
282E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.