Individual
BYUNGKI KOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 149TH PL APT 1B, FLUSHING, NY 11354-4964
(718) 820-6911
(718) 321-2050
Mailing address
3710 149TH PL APT 1B, FLUSHING, NY 11354-4964
(718) 820-6911
(718) 321-2050
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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