Individual
HAK J KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5687 MAIN ST, SUITE 102, WILLIAMSVILLE, NY 14221-5517
(716) 204-3541
(716) 204-3542
Mailing address
5687 MAIN ST, SUITE 102, WILLIAMSVILLE, NY 14221-5517
(716) 204-3541
(716) 204-3542
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
137567
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020222401
UNIVERA
NY
01
—
00508010006
BLUE CROSS BLUE SHIELD
NY
05
—
00685534
—
NY
01
—
1509258
INDEPENDENT HEALTH
NY
Enumeration date
03/01/2006
Last updated
07/05/2010
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