Individual
DR. HAE JUNG KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4152 LITTLE NECK PKWY, 2ND FLOOR, LITTLE NECK, NY 11363-1708
(646) 265-4618
Mailing address
4152 LITTLE NECK PKWY, 2ND FLOOR, LITTLE NECK, NY 11363-1708
(646) 265-4618
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054831-1
NY
122300000X
Dentist
22DI02389900
NJ
Other
Enumeration date
12/14/2008
Last updated
05/19/2016
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