Organization
METRONEUROSURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN KO M.D. (PRESIDENT/OWNER)
(718) 960-3788
Entity
Organization
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-3788
Mailing address
45 TUDOR CITY PL, SUITE 1503, NEW YORK, NY 10017-7601
(718) 960-3788
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03192972
—
NY
Enumeration date
06/01/2009
Last updated
04/07/2011
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