Individual
YONGSOON KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
230 E. RIDGEWOOD AVE, BERGEN REGIONAL MEDICAL CENTER, PARAMUS, NJ 07652-4142
(201) 207-9557
(201) 784-1136
Mailing address
230 E RIDGEWOOD AVE, BERGEN REGIONAL MEDICAL CENTER, PARAMUS, NJ 07652-4142
(201) 207-9557
(201) 784-1136
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NN07873000
NJ
363L00000X
Nurse Practitioner
F303116-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN07873000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02196743
—
NY
Enumeration date
08/09/2006
Last updated
05/18/2016
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