Individual
ELIZABETH KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14816 35TH AVE FL 2, FLUSHING, NY 11354-3747
(929) 332-8039
Mailing address
8268 164TH ST # 3BE, JAMAICA, NY 11432-1121
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
726246
NY
163WM0705X
Medical-Surgical Registered Nurse
Primary
726246
NY
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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