Individual
JUSTINE SARAH KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 E 68TH ST # 179, NEW YORK, NY 10065-4870
(212) 746-0282
Mailing address
525 E 68TH ST # 179, NEW YORK, NY 10065-4870
(202) 877-4848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125.070099
IL
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
315580
NY
207PS0010X
Sports Medicine (Emergency Medicine) Physician
MD049148
DC
Other
Enumeration date
03/22/2017
Last updated
07/19/2022
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