Individual
STANLEY G KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 PRATT AVE, BAYSIDE, NY 11359-1119
(718) 281-8325
Mailing address
17283 HIGHLAND AVE, JAMAICA, NY 11432-2896
(718) 281-8325
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
398863
NY
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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