Individual
EUNAE KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
365A W 28TH ST, NEW YORK, NY 10001-4703
(212) 741-3030
(212) 741-3040
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(323) 467-7119
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
26NJ00610300
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
308083
NY
Other
Enumeration date
01/10/2016
Last updated
05/07/2024
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