Whalio Doctors

NPI 1265586804

Bon C. Koo, MD

Practitioner Long Term Care Hospital Queens Village, NY

Practice location

Address
8045 Winchester Blvd, Queens Village, NY 11427-2193
Phone
(718) 264-4296
Fax
(718) 264-4212

Registered specialties

Long Term Care Hospital Primary
Hospitals Taxonomy 282E00000X Licence 134508 (NY)

Registry record

NPI
1265586804
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Jan 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.