Individual
HAEMYUNG KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13817 11TH AVE, WHITESTONE, NY 11357-2301
(917) 620-1060
Mailing address
13817 11TH AVE, WHITESTONE, NY 11357-2301
(917) 620-1060
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
NY
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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