Individual
DR. FELIX KUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
775 PARK AVE, SUITE 145, HUNTINGTON, NY 11743-3976
(631) 367-5395
(631) 351-4562
Mailing address
775 PARK AVE, SUITE 145, HUNTINGTON, NY 11743-3976
(631) 367-5395
(631) 351-4562
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
220481
MA
207N00000X
Dermatology Physician
Primary
250872
NY
207NS0135X
Procedural Dermatology Physician
A95073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A950730
INDIVIDUAL PTAN
CA
01
—
1285625228
NPI
—
05
—
2101785
—
MA
Enumeration date
10/31/2005
Last updated
08/18/2009
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