Individual
MATTHEW KYUNGSOO KOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 W 27TH ST STE 5S, NEW YORK, NY 10001-0265
(833) 351-8255
Mailing address
109 W 27TH ST STE 5S, NEW YORK, NY 10001-0265
(833) 351-8255
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
13276397-1205
UT
2084P0800X
Psychiatry Physician
316400
NY
2084P0800X
Psychiatry Physician
Primary
T3650
TX
Other
Enumeration date
03/20/2018
Last updated
04/29/2025
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