Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWIN KOO
Active Sole ProprietorEDWIN KOO is a Physician Assistant healthcare provider located in ROSLYN, New York. NPI 1700538956 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROSLYN, NY
Registration Details
- NPI Number
- 1700538956
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2022 (4.5666891854221 yrs)
- Last Updated
- Mar 2, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 PORT WASHINGTON BLVDROSLYN, NY, 115761347Browse NY providers · Browse ZIP 11576
- Phone
- 5165626000
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ROSLYN, NY
| Name | Credential | NPI |
|---|---|---|
| KATIE STAPHOS | R.P.A.-C | 1760488001 |
| MS. CHERYL ROTHMAN | RPA-C | 1790845451 |
| GEORGE STAPHOS | P.A. | 1275680233 |
| MARIA ZANETIS | P.A. | 1831246834 |
| ANDREW NUGENT | P.A. | 1083761993 |
| EILEEN STANTON | P.A.A | 1346397171 |
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.