Individual
MRS. LILLIAN SEUL GI KOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
130 WILLIAM ST APT 22A, NEW YORK, NY 10038-3860
(213) 605-0853
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F432905-01
NY
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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