Individual
MS. CHANGKUM KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. ED
Contact information
Practice address
8 ORCHARD CT, ROSLYN HEIGHTS, NY 11577-1352
(516) 801-3983
Mailing address
8 ORCHARD CT, ROSLYN HEIGHTS, NY 11577-1352
(516) 801-3983
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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